Form Crd - 01 R - Annual Report / Annual Fees - Arkansas Secretary Of State

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Arkansas Secretary of State
State Capitol • Little Rock, Arkansas 72201-1094
Charlie Daniels
501-682-3409 •
Annual Report / Annual Fees
Business and Commercial
FOR OFFICE USE ONLY
Services Division
Corp. File #:
State Capitol Building
Little Rock, Arkansas
(Please Type or Print)
Co-op. File #:
72201-1094
The following is a list of Cooperatives and Associations which are required under Arkansas law to file an annual report and if applicable, pay
a fee to the office of the Secretary of State, Please complete the information and return the report and the required fee for your organization.
Name of Cooperative or Association:
Address:
Contact Person:
Phone Number:
E-mail Address:
PLEASE CHECK ONE OF THE FOLLOWING
Agricultural Cooperative Association
A.C.A. Section 2-2-123
ANNUAL FEE - $10.00
Electric Cooperatives - DUE BEFORE July 1 OF EACH YEAR
A.C.A. Section 23-18-329
ANNUAL FEE - $10.00 per 100 members or fraction thereof
Number of Members:
Fee:
Marketing Association (PLEASE SUBMIT THESE REQUIREMENTS BY ATTACHMENT.)
A.C.A. Section 2-2-422 - Annual Report - NO FEE
Principal place of business:
Provide a general statement of the business operations during the fiscal year showing:
a. The amount of capital stock paid up and the number of stockholders of the stock association; or the
number of members and amount of membership fees received if a non-stock association;
b. The total expenses of operations;
c. The amount of Indebtedness or liability; and
d. A balance sheet.
Cooperative Association
A.C.A. Section 4-30-114 - Annual Report - NO FEE
Name of stockholders and amount of stock owned by each:
Name
Stock Owned
CRD - 01 REV. 11/04
Attach separate list I if necessary.

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