MICHIGAN DEPARTMENT OF LABOR & ECONOMIC GROWTH
BUREAU OF COMMERCIAL SERVICES - CORPORATION DIVISION
FOREIGN CORPORATION INFORMATION UPDATE
Year ______
1. Corporate Name
2. IDENTIFICATION NUMBER
3. Resident Agent
4a. Registered Office Address in Michigan - NO., STREET, CITY, ZIP (may not be a P.O. Box)
4b. Mailing Address of Registered Office in Michigan, if different than address in Item 4a (may be a P.O. Box)
5. Describe the general nature and kind of business in which the corporation is engaged:
6. Total authorized shares:
7.
Single Business Tax Apportionment Percentage: Submit an amended application to report a change in autho-
rized shares. For increases in shares attributable due to an increase in SBT%, you may complete the enclosed
worksheet and remit any additional admission fees with this report in lieu of filing an amended application.
Most recent Single Business Tax Apportionment Percentage ___________ % for year ending ___________
8.
NAME
BUSINESS OR RESIDENCE ADDRESS
President
Secretary
If
different
Treasurer
than
President
Vice President
Director
If
different
Director
than
Officers
Director
9. The filing fee is $25.00. If agency receives after September 30, total fee is $75. ($25 filing fee plus $50 late penalty fee.) Please make
your check or money order payable to State of Michigan. Return this signed report with fee to:
Michigan Department of Labor & Economic Growth
Bureau of Commercial Services • Corporation Division
PO Box 30702
Lansing, MI 48909-8202
(517) 241-6470
10. Signature of authorized officer or agent
Title
Date
Phone (Optional)
If more space is needed, additional pages may be included. Do not staple any items to the report. Do not staple any items to the report.
Professional Service Corporations must include a BCS/CD 314-List of Shareholders
BCS/CD-2500FW (Rev. 12/05)
Authority: Section 911, Act 284, Public Acts of 1972
Completion: Mandatory
Penalty:Revocation of Corporation