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Corporation Franchise Tax Report (Non-Stock Corporation) - Arkansas Secretary Of State - 2006

Charlie Daniels, Arkansas Secretary of State

Franchise Tax Report, 2006 Reporting Year

Annual Report as of December 31, 2005

CORPORATION FRANCHISE TAX REPORT

)

(Non-Stock Corporation

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:

Phone # of tax contact: _______________________

E-mail address: ____________________________

Date of Qualification ________________________

Required Information

Federal Tax ID# _______________________________________

State of Incorporation ________________________

Please provide current names:

Secretary ___________________________________

President _____________________________________________

Treasurer ___________________________________

Vice-President _________________________________________

Controller __________________________________

Tax Preparer _______________________________________

$ 300.00

Corporations Without Authorized Stock Pay $300.00

TOTAL DUE

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 @

Corporation Franchise Tax Report (Non-Stock Corporation) - Arkansas Secretary Of State - 2006