2
. FINAL REPORT
Compute the highest proportion of capital the corporation had represented in
Wisconsin since the filing of the last Wisconsin Foreign Corporation Annual Report. If no annual report
has been filed, calculate from the date of the application for certificate of authority. (NOTE: Start by
completing items A(1) thru A(7). Continue, and in sequence, first complete item B and next item C, as
each or both may be necessary, and post the results to item A and complete the computations in item A.
Corporations having both Par Value and No Par Value shares issued will utilize both item B and item C.
A.(1) Gross Business
$_____________
(2) Plus Total Assets
$_____________
(3) Total of lines (1) and (2)
$_____________
(4) Wisconsin business
$_____________
(5) Plus Wisconsin Assets
$_____________
(6) Total of lines (4) and (5)
$_____________
(7) Divide line (6) by line (3) and
enter percentage
___________%
(8) Value of Issued Shares of PAR VALUE
stock from item B (3)
$_____________
(9) Value of Issued Shares of NO PAR
VALUE stock from line C (7)
$_____________
(10) Total of lines (8) and (9)
$_____________
(11) Multiply line (10) by line (7) and
enter product here and on line 3 A, in section 3 $___________
B. PAR VALUE STOCK (Use this section to compute valuation of Par Value stock only)
(1) Value of issued shares of Par Value stock,
computed at PAR
$_____________
(2) Paid-in capital, in excess of Par, applicable
to issued shares of Par Value stock
$_____________
(3) Total of lines (1) and (2). Also enter
$_____________
this sum on line A (8) above
C. NO PAR VALUE STOCK (Use this section to compute valuation of No Par Value stock only)
(1) Total assets (From item 2A(2) above.)
$_____________
(2) Deduct liabilities other than capital and
Surplus
$_____________
(3) Total of line (1) minus line (2)
$_____________
(4) Deduct amount of line A (8) above
$_____________
(5) Remainder of line (3) minus line (4)
$_____________
(6) Compute value of issued shares of NO PAR
VALUE stock at $10.00 per share
$_____________
(7) Enter the GREATER of line (5) or line (6) here. Also
$_____________
Enter this sum on line A (9) above.
24
DFI/CORP/
(03/15)
2