Corporation Franchise Tax Report - Arkansas Secretary Of State - 2003

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Charlie Daniels, Arkansas Secretary of State
Franchise Tax Report, 2003 Reporting Year
Annual Report as of December 31, 2002
CORPORATION FRANCHISE TAX REPORT
Reports and Taxes due on or before June 1, 2003. Substantial additional amounts due for reports with United States
Postal Services postmark after deadline. Reports may filed over the Internet @
Report must be completed and signed in INK.
If tax contact information has changed, please correct below:
1.
Phone # of tax contact: ___________________
2.
Required Information
Federal Tax ID# ________________________________________
State of Incorporation _________________________
Please provide current names:
Treasurer ___________________________________
President ______________________________________________
Secretary ___________________________________
Vice-President _________________________________________
Controller ___________________________________
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
______________
.0027 =
TAX DUE
MINIMUM TAX DUE $50
5b.
Corporations Without Authorized Stock Pay $100.00
ARKANSAS CAPITAL STOCK
IF LESS THAN $50 PAY $50
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 listed in 2 above must sign this form in ink.
Due on or before June 1, 2003 -Substantial penalties due after June 1, 2003
Remittance must accompany this report and must be written and signed in ink.
Checks Payable to Arkansas Secretary of State ● Phone (501)-682-3409 or 1-888-233-0325
Corporations Division ● State Capitol Building ● Little Rock, Arkansas 72201-1094
You may file this electronically over the Internet @

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