Form Rea-1 - Cooperative Electric Association

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REA-1
Cooperative Electric Association
Annual Report of Membership for Calendar Year Ending Dec . 31,
(enter the year)
Due March 1 following each calendar year.
Name of cooperative
FEIN
Address
Minnesota tax ID number
Location
City
State
Zip code
Membership Data (as of Dec. 31 of the reported year)
Number of
Number of
County
Members
County
Members
Subtotal . .
Subtotal . .
1 Total number of members (enter sum from above) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Tax (divide line 1 by 100 and round up to the next whole number) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Multiply line 2 by $10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Penalty and interest (if the tax is not fully paid by March 1, see instructions) . . . . . . . . . . . . . . . . . . . . . . 4
5 Total due (add line 3 and line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Certification. I hereby certify that this report has been examined by me and is true to the best of my knowledge and belief.
Authorized signature
Print name
Title
Date
Phone number
Mail to: Minnesota Revenue, Mail Station 3331, St . Paul, MN 55146-3331 .
Phone: 651-556-3060 (TTY: Call 711 for Minnesota Relay)
(Rev . 1/12)

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