Corporation Franchise Tax Report - Arkansas Secretary Of State - 2006

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Charlie Daniels, Arkansas Secretary of State
Franchise Tax Report, 2006 Reporting Year
Annual Report as of December 31, 2005
CORPORATION FRANCHISE TAX REPORT
Reports and Taxes due on or before May 1, 2006. Penalty and Interest will be due for reports if United States Postal Services postmark
is after the deadline. Complete report and sign in ink or file over the internet at
XML BATCH Filing Available
For Official Use Only
If tax contact information has changed, please correct below:
1.
Phone # of tax contact: _______________________
E-mail address: ______________________________
Date of Qualification: ______________________
Required Information
2.
Federal Tax ID# _______________________________________
State of Incorporation ________________________
Please provide current names:
Treasurer __________________________________
President ____________________________________________
Secretary __________________________________
Vice-President ________________________________________
Controller __________________________________
Tax Preparer ______________________________________________
Your previous Franchise Tax information provided for your reference:
Tax Paid:
$
Authorized Stock:
Total Assets:
$
Outstanding Stock:
Arkansas Assets:
$
Stock and Asset Information for this reporting year (Required)
DATA FROM CORPORATE BALANCE SHEET:
IMPORTANT: If all assets are not applicable to Arkansas, attach a copy of your balance sheet.
3. TOTAL AUTHORIZED CAPITAL STOCK:
4. ISSUED AND OUTSTANDING CAPITAL STOCK:
(See instruction 13)
(See instruction 14)
NUMBER OF SHARES
PAR VALUE EACH
NUMBER OF SHARES
PAR VALUE EACH
$ TOTAL
*a
$
*a
X $
= $
*b
$
*b
X $
= $
No par value =$25
* c
$
* c
= $
per share
NO PAR VALUE =$25 PER SHARE
*d
(Add 4a +4b + 4c)
TOTAL:
* STATE THE NUMBER OF SHARES IN ALL CLASSES.*
____________ ÷ ÷ ÷ ÷
____________=
____________ x ____________ = ____________
5a.
ARKANSAS ASSETS
TOTAL ASSETS
PERCENTAGE
AMOUNT FROM LINE 4d
ARKANSAS CAPITAL STOCK
-
ENTER ON LINE 5b
____________ x
_____________
.003 =
TAX DUE
MINIMUM TAX DUE $150
5b.
Corporations Without Authorized Stock Pay $300.00
ARKANSAS CAPITAL STOCK
IF LESS THAN $150 PAY $150
I declare, under the penalties of perjury, that the foregoing statements are true to the best of my knowledge and belief.
Signed this ______day of _______, _______ . Signature _________________________________________
(Day)
(Month)
(Year)
An officer or tax preparer listed in 2 above must sign this form in ink.
Due on or before May 1, 2006 – Penalty and Interest due after May 1, 2006
Remittance must accompany this report • Make Checks Payable to Arkansas Secretary of State
Phone 501-682-3409 or 1-888-233-0325
Mail to: Business and Commercial Services Division • P.O. Box 8014 • Little Rock, Arkansas 72203-8014
You may file this electronically over the Internet @

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