North Dakota Domestic Disclosure Spreadsheet
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6North Dakota Filer:_________________________________
North Dakota
North Dakota Domestic Disclosure Spreadsheet
Schedule DDS-1
Address:__________________________________________
Affiliated Corporations
__________________________________________
F.E.I.N. ___________________________________________
Income Year Ended: _______________________________
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
(i)
(j)
(k)
Primary
Name and
Corporation
Country
Business
Primary
Date
Address of
Percentage of
Owner
Type of
of
Location(s)
Business
Date of
of
No.
Corporation
FEIN
Ownership
(From (a))
Corporation
1
Incorporation
2
(Country)
2
Activity(s)
2
Acquisition
2
Disposition
2
Common Parent Corporation
1.
Type of Corporation: A = Foreign
B = 80/20
C = DISC/FSC
1
I declare under the penalties of North Dakota Century Code § 12.1-11-02, which provides for a Class A misdemeanor for making a false statement in a governmental matter, that
D = Possessions Corporation
this spreadsheet, including any accompanying schedules and statements, has been examined by me and to the best of my knowledge and belief is true, correct, and complete.
E = Domestic Corporation
(United States)
Date: ______________________________
Signature of Officer: ________________________________________ Title: ____________________________________
Exception: Required only for members of the water's edge group.
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Date: ______________________________
Signature of Preparer: _______________________________________ Address: _________________________________
28842
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Parent category: Financial