Form 526 Draft - Rural Small Business Capital Company Information Report

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State of Oklahoma
Rural Small Business Capital Company
526
Information Report
Revised 2007
For the Calendar Year Ending:
Identification Number
Corporation
Partnership
LLC
Name of Rural Small Business Capital Company
Address
City
State
Zip
Complete the applicable sections for investments made during this calendar year. Attach additional schedules
if necessary. Enclose a copy of the capital company’s annual financial statements, including documentation to
indicate the methods of operation and conduct of the business of the capital company. (*See note on back)
A
Entities Investing in the Rural Small Business Capital Company
Identification
Date of
Type of
Amount
Number
Investor’s Name
Address
Investment
Investment
Invested
1)
2)
3)
4)
B
/
/
Entities Investing in Oklahoma Rural Small Business Ventures
in Conjunction with the Rural Small Business Capital Company
/
/
Identification
Business
Identification
Date of
Type of
Amount
Investor’s Name
Number
Invested In
Number
Investment
Investment
Invested
1)
2)
3)
C
Oklahoma Rural Small Business Ventures in which Investments Were Made
by the Rural Small Business Capital Company
Identification
Name of Business
Date of
Type of
Amount
Invested In
Number
Type of Business
Investment
Investment
Invested
1)
2)
3)
This information return, including enclosures, must be filed by April 30th.
Under penalties of perjury, I declare that I have examined this return, including accompanying statements, and to the best of my knowledge
and belief it is true, correct and complete.
Officer, General Partner or Member
Date
The Oklahoma Tax Commission is not required to give actual notice to taxpayer of changes in any state tax law.

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