Profit Corporate Report To The Nm Public Regulation Commission Of New Mexico printable pdf download

RETURN TO:

NM PUBLIC REGULATION COMMISSION

CORPORATION DEPARTMENT

P.O. BOX 1269, SANTA FE, NEW MEXICO 87504-1269

FIRST REPORT

PROFIT CORPORATE REPORT

TO THE NM PUBLIC REGULATION COMMISSION OF NEW MEXICO

Please type or print legibly

PROPOSED TAXABLE YEAR ENDING DATE >>> _____/_____/_____

Instructions on next page

Corporate report due on or before the fifteenth day of the third month following the end of its taxable year except that the First Report

shall be filed within thirty days from date of incorporation or qualification in New Mexico.

________________________________________________________________________________________________________________

1. EXACT

CORPORATE

NAME

AND

U.S. MAILING

ADDRESS

_____________________________________________________________________________________________________________

2. PRINCIPAL PLACE OF BUSINESS IN NEW MEXICO

3. PRINCIPAL OFFICE OUTSIDE NEW MEXICO

4. NMPRC Certificate

(if different from registered office in state of incorp)

of Incorporation /

Authority Number

STREET ___________________________________

STREET _____________________________

CITY,ZIP __________________________________

CITY,STATE,ZIP _______________________

refer to above number

in all correspondence

____________________________________________

_______________________________________

____________________

5. NM Tax & Revenue ID

____________________________________________

_______________________________________

____________________

_________________________________________________________________________________________________________________

6. FOREIGN CORPORATION - REGISTERED OFFICE IN STATE OF INCORPORATION

7. STATE OR COUNTRY

OF INCORPORATION

STREET __________________________________________________________________________

CITY,STATE,ZIP ___________________________________________________________________

____________________

_________________________________________________________________________________________________________________

8. REGISTERED AGENT AND OFFICE LOCATED WITHIN NEW MEXICO FOR SERVICE OF PROCESS

(filing corporation cannot be its own agent)

NAME _________________________________________________________________________________________________________

STREET _______________________________________________________________________________________________________

(post office box unacceptable unless geographical location is given)

CITY,ZIP _______________________________________________________________________________________________________

_________________________________________________________________________________________________________________

9. The names and addresses of ALL the directors and officers (Identify each elected director from an officer’s position. A New

Mexico Corporation shall have not less than one director. Refer to instruction No. 9) of the Corporation and when the term of office

of each expires:

OFFICE/TITLE

NAME AND ADDRESS

DATE WHEN TERM EXPIRES

_____________________

_____________________________________________________________

__________________________

_____________________

_____________________________________________________________

__________________________

Director __________________________________________________________________________________________________________

(attach schedule if needed)

The character of its business in New Mexico, briefly stated, is _______________________________________________________________

The date for the next annual meeting of the stockholders for the election of directors is ___________________________________

__________________________________________________________________________________________________________________

10. Under penalties of perjury, I declare and affirm that I have examined this report, including the accompanying schedules and

statements and that all statements contained therein are true and correct.

____________________________________________________

_______________________________________

_______________

signature of officer or authorized agent

title

date

________________________________________________________________________________________________________________

11.

PAYMENT OF FILING FEE AND LATE FILING PENALTY:

NMSCC Office Use Only

(a) Filing fee due on Corporate Report…………………………………….…(a) $

25.00

(b) $200.00 Late Filing Fee Penalty………………………………………..…(b) $

_____________________

(IRS or NMPRC Valid extension, if any, must be submitted

_____________

Amount

Postmark

with report at time of submission)

Remitted

Date

PLEASE DO NOT SUBMIT CASH FOR PAYMENT

_____________

______________________

Profit Corporate Report To The Nm Public Regulation Commission Of New Mexico

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