Initial Report For Corporate Or Limited Liability Company Farming Or Ranching
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1
2FOR OFFICE USE ONLY
INITIAL REPORT FOR CORPORATE
ID Number
OR LIMITED LIABILITY COMPANY
WO Number
FARMING OR RANCHING
SECRETARY OF STATE
Filed
By
SFN 19445 (4-2012)
TYPE OR PRINT LEGIBLY
For reference, see North Dakota Century Code, Section 10-06.1-15.
1. Name of the Corporation or Limited Liability Company
(May not exceed 15 shareholders or members)
(Check appropriate box)
2. REGARDING SHAREHOLDERS OR MEMBERS
Depends Principally
Percent or
Operating
Living on
on Farming or
Number
Farm or
Farm or
Ranching
U.S.
Permanent
of Shares or
Name and Address
Relationship
Ranch
Ranch
for a Livelihood
Citizen
OR
Alien
Membership
Yes
No
Yes
No
Yes
No
Interests
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
Name
Address
3. NAMES OF BENEFICIARIES OF TRUSTS OR
COMPLETE MAILING ADDRESS
RELATIONSHIP
ESTATES NAMED IN NUMBER 2
Street/RR
PO Box
City
State
ZIP+4
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Parent category: Business