Annual Corporation Franchise Tax Report - Arkansas Secretary Of State - 2016
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1Mark Martin
, Arkansas Secretary of State
000000000
ANNUAL CORPORATION FRANCHISE TAX REPORT 2016
For the year ending 12/31/2015
Reports and taxes are due on or before May 2, 2016. Penalty and interest will be due for reports if the United States Postal Service’s
postmark is after the deadline. Complete this report online at , or sign in black ink and mail to the address
listed below.
Save Time & File Online
1.
Anytime Day Or Night At
4b.
Current Names of Corporate Governors:
President:
2.
Vice President:
Correct any of the below information, if needed:
Secretary:
Tax Contact Name:
Treasurer:
Address:
Controller:
Address 2:
Tax Preparer:
City, State, Zip:
Phone # of Tax Contact:
5.
Date of Qualification:
E-mail Address:
State of Incorporation:
Required Information:
Nature of Business:
Federal Tax ID#:
6.
TOTAL AUTHORIZED CAPITAL STOCK
(See Instruction 13)
3.
___ A
4, 5, 6, 7 &
LL OF THE INFORMATION IN SECTIONS
NUMBER OF SHARES
PAR VALUE EACH
8
HAS BEEN VERIFIED AND HAS BEEN FOUND TO BE
.
’
a)
$
EXACTLY THE SAME AS LAST YEAR
S REPORT
b)
$
4a.
Registered Agent Information:
c)
$
Name:
NO PAR VALUE = $25 PER SHARE
Address:
7.
ISSUED AND OUTSTANDING CAPITAL STOCK
Address 2:
(See Instruction 14)
City, State, Zip:
NUMBER OF
SHARES
PAR VALUE EACH
TOTAL
Principal Office Information (in Arkansas):
a)
X $
= $
Address:
b)
X $
= $
City, State, Zip:
c)
X $
= $
d)
(Add 7a + 7b + 7c) TOTAL:
= $
NO PAR VALUE = $25 PER SHARE
8.
ARKANSAS ASSETS
÷
TOTAL ASSETS
=
PERCENTAGE
X
AMOUNT FROM LINE 7d
=
ARKANSAS CAPITAL STOCK
X .003 =
TAX DUE
MINIMUM TAX DUE $150 • IF LESS THAN $150 PAY $150 • CORPORATIONS WITHOUT AUTHORIZED STOCK PAY $300
I declare, under the penalties of perjury, that the foregoing statements are true to the best of my knowledge and belief.
Executed this ______________ day of _________________________, _____________
(Day)
(Month)
(Year)
Print Name____________________________________________ Signature____________________________________________
Must be printed in black ink by: Pres., Vice Pres., Sec., Treas., Cont., or Tax Preparer
Must be signed in black ink by: Pres., Vice Pres., Sec., Treas., Cont., or Tax Preparer
Due on or before May 2, 2016 – Penalty and interest due after May 2, 2016
You may file this online at
Remittance must accompany this report • Make checks payable to Arkansas Secretary of State
Phone: 501-682-3409 or Toll Free: 888-233-0325
Mail to: Business and Commercial Services Division • P.O. Box 8014 • Little Rock, Arkansas 72203-8014
Rev. 10/15
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