Form Dscb:15-8221/8998 - Certificate Of Annual Registration Page 3

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3. To be completed by Restricted Professional
4. To be completed by Restricted Professional
Companies only.
Companies only.
The certificate of annual registration must include a
Fill in the number of persons who were members of the
statement by the company as to whether or not it engaged
company on December 31 and the year to which that
in any business not permitted by section 8996(a) (relating
number relates. The annual fee is required to be paid only
to purposes of restricted professional companies) during
with respect to a member who:
the year with respect to which the certificate is being
a.
Was licensed to practice the professional service
filed.
rendered by the company on December 31; and
b.
Had principal residence in Pennsylvania on
§ 8996. Restrictions.
December 31. See §8998(b)(1).
(a) Purposes of restricted professional companies. --
A restricted professional company shall not engage in
The nonrefundable annual fee of $520 times the number
any business other than conducting the practice of the
of persons who were members of the company on
restricted professional service or services for which it was
December 31 shall accompany this form and shall be
specifically organized, except that a restricted
made payable to the Department of State. The base fee
professional company may:
was increased to $520 on December 31, 2015. See
(1) Own real and personal property necessary for or
§8998(b)(2). Failure to file the annual registration by
appropriate or desirable in the fulfillment or rendering
April 15 will result in a lien on the assets of the company.
of its specific restricted professional service or services
If a certificate of annual registration is not filed by May
and it may invest its funds in real estate, mortgages,
15, a penalty of $500 will be assessed against the
stocks, bonds or any other type of investment.
company, which will create a second lien on the assets of
(2) Be a partner, shareholder, member or other
the company.
owner of a partnership, corporation, limited liability
company or other association engaged in the business
Signature and Verification
of rendering the restricted professional service or
An authorized representative of the limited liability
services for which the restricted professional company
partnership, limited liability limited partnership or restricted
was organized.
professional company must sign the Certificate of Annual
Registration.
Signing a document delivered to the Department
for filing is an affirmation under the penalties provided in 18
Pa.C.S. § 4904 (relating to unsworn falsification to authorities)
that the facts stated in the document are true in all material
respects.
This field is required.

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