Arkansas Foreign Non Profit Corporation Annual Report Form
In the State of Arkansas, for a nonprofit corporation to maintain an active status, its official agent must complete and submit this form annually. Every year, this form must be filed with the Secretary of State’s office within the announced submission period.Download
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Arkansas Secretary of State M ark M artin Business & Commercial Services, 250 Victory Building, 1401 W. Capitol, Little Rock State Capitol • Little Rock, Arkansas 72201-1094 501-682-3409 • www.sos.arkansas.gov Annual Report for Nonprofit Corporation (PLEASE PRINT OR TYPE CLEARLY IN INK) Report due August 1st File Online Today at www.sos.arkansas.gov 1. The name of the nonprofit corporation is: __________________________________________________________ 2. The state or foreign country under whose laws the corporation was incorporated is: ________________________ 3. a. Registered agent for service of process: Name ___________________________________________________ b. Registered Agent Address, MUST be physical address in the State of Arkansas: _________________________ __________________________________________________________________________________________ 4. Corporation’s principal office address: ____________________________________________________________ 5. Principal officers: Name Address ______________________________________ _________________________________________________ ______________________________________ _________________________________________________ ______________________________________ _________________________________________________ 6. Board of Directors: (minimum of three (3) persons) Name Address ______________________________________ _________________________________________________ ______________________________________ _________________________________________________ ______________________________________ _________________________________________________ 7. Is this entity registered with the IRS as an exempt organization? ________________________________(optional) If yes, what type of exemption status is held? _______________________________________________(optional) Attach additional directors if needed. I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days. Executed this ___________________ day of _________________________, ____________ . _______________________________________ _______________________________________ Signature and Title of Authorized Director or Officer (Governor) Printed Name of Authorized Director or Officer (Governor) File Online Today at www.sos.arkansas.gov NO FEE \ \ NP-AR Rev . 06/11 Annual Report for Nonprofit Corp.indd 1 6/7/11 2:20 PM
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