Form Ouf-1 - Unclaimed Funds Reporting Form - 2000
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1STATE OF OHIO DEPARTMENT OF COMMERCE
Bob Taft
DIVISION OF UNCLAIMED FUNDS
Governor
P.O. Box 18305, Columbus, OH 43218, (614) 466-4433, FAX (614) 752-5078 Federal Tax ID# 31-1409347
Gary C. Suhadolnik
Director
INDICATE NAME & ADDRESS CHANGES BELOW
OUF-1 UNCLAIMED FUNDS REPORTING FORM
Apply Mailing Label Below
Indicate Name & Address Changes Below
*
*
Holder Name
Holder No.
Holder Name
Holder No.
Name of Contact Person
Name of Contact Person
Address
Address
City, State, Zip Code
City, State, Zip Code
Contact Person Title
Contact Phone
Contact Fax
Federal ID #
Type of Business
SIC Code
State of Incorporation or License
Date of Incorporation
Number of Employees in Ohio
Annual
Compliance
Supplemental
First
Type of Report
Audit
No Funds to Report
Other _____________________
Is an agent preparing this report?
If yes, please provide the agent’s name.
Reporting Year
2000
Agent’s Address, City, State, Zip Code
Number of security certificates transmitted on
Number of security shares transmitted, from
Are any safe deposit box contents transmitted
form OUF-4 with this report.
last page of OUF-4.
on form OUF-5 with this report?
YES
NO
Does this report include:
Is the Company:
(A) All branches
YES
NO
(a) A Subsidiary
YES
NO
(B) All divisions
YES
NO
(b) A Division
YES
NO
(C) All subsidiaries
YES
NO
(c) Publicly traded
YES
NO
(d) Private
YES
NO
(e) Mutual
YES
NO
If a subsidiary or division, please provide the name and address of the parent company:
If the company is a successor to a prior holder, list the names and last known addresses of all previous holders of the property, and the
date(s) on which the property was transferred. If the company changed its name during the period in which it held the funds, list the prior
name(s), state of incorporation, and date the corporation changed hands. Attach separate sheets as needed.
Date of Change
Name
Address
State of Incorporation
If this report includes property held by subsidiary companies or divisions, list the name(s) and addresses of those companies.
Attach separate sheets as needed.
*
A holder number is assigned by the Ohio Division of Unclaimed Funds upon receipt of the first filing of an Annual Report of Unclaimed Funds.
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