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District of Columbia Government
Corporations Division
Form BRA-28.
Version 2, July 2010.
Two-Year Report for Domestic & Foreign Non-Profit Corporation
Year of Filing:
File Number:
Use this form to file a two-year report for a domestic or foreign non-profit corporation.
Date of Filing:
Filing Fee:
1. Entity Name.
2. Organized under the laws of which state or country.
3. If this is a foreign corporation, address of principal office in state or country where it is organized.
4. Name of Registered Agent and address of registered office in DC.
5. Brief statement of business affairs conducted in DC.
6. If this is domestic corporation, address of principal office in DC.
7. List all corporation directors and officers (attach list if needed)
TITLE
NAME
ADDRESS
FOREIGN NON-PROFIT CORPORATIONS: ANSWER 8-10
8. Date Organized
9. Term of existence authorized
10. Is corporation in good standing in state / country where it is
organized?
Yes
No
11. Select corporate officer executing this form:
12. Signature
President / Vice-President
Secretary / Assistant Secretary
Treasury / Assistant Treasury
If you sign anywhere on the Two-Year Report Form, you agree that you understand that anyone who makes a false statement anywhere
on it can be punished by criminal penalties of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC § 22-2405.
Mail all forms and required payment to:
Department of Consumer and Regulatory Affairs
Corporations Division
PO Box 92300
Washington, DC 20090
Phone: (202) 442-4400