Form 200 - Oklahoma Annual Franchise Tax Return - 2008 Page 2

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FRX
0600102
000
Name
Address
City
State
ZIP
Federal Employer’s
Identification Number
Schedule A: Current Officer Information
Corporate Officers Effective as of ______________ Are as Follows:
MM-DD-YYYY
(Date)
Examples:
Reporting period 07/01/2006 – 06/30/2007—Schedule A date = 06/30/2006
Reporting period 01/01/2006 – 12/31/2006—Schedule A date = 12/31/2005
Schedule A: Current Officer Information
Enter the current officers effective date. Example: if the reporting period is 07/01/2006 through 06/30/2007, the effective date
should be 06/30/2006. The officers listed should be those whose term was in effect as of 06/30/2006. If any of the officer
information is incorrect, please make the necessary changes on the Schedule A. Be sure to update names, addresses, and
Social Security Numbers.
President
Social Security Number
Home Address (street and number, city, state, ZIP code)
Home Phone (area code and number)
Vice President
Social Security Number
Home Address (street and number, city, state, ZIP code)
Home Phone (area code and number)
Secretary
Social Security Number
Home Address (street and number, city, state, ZIP code)
Home Phone (area code and number)
Treasurer
Social Security Number
Home Address (street and number, city, state, ZIP code)
Home Phone (area code and number)
Please include Social Security Numbers of officers.
If non-resident officer with no Social Security Number (SSN) note “NRA” for SSN.
710:1-3-6. Use of Federal Employer Identification Numbers, Social Security Numbers mandatory
All returns, applications, and forms required to be filed with the Oklahoma Tax Commission (Commission) in the administra-
tion of this State’s tax laws shall bear the Federal Employer’s Identification Number(s) or the Social Security Account
Number (or both) of the person, firm, or corporation filing the item and of all persons required by law or agency rule to be
named or listed. If more than one number has been issued to the person, firm, or corporation, then all numbers will be required.
[Source: Amended at 16 Ok Reg 2628, eff 6-25-99]
710:1-3-8. Confidentiality of records
All Federal Employer’s Identification and/or Social Security Account Numbers are deemed to be included in the confidential
records of the Commission.

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