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Arkansas Non Profit Corporation Annual Report Form

This form is for the use of Arkansas-based nonprofit corporations that seek to regularly update its information and maintain an active status. This Annual Report must be filed every year. Submission does not entail any filing fee.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                                                                  \
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                                                              NP-AR Rev . 06/11	
Annual Report for Nonprofit Corp.indd   1	6/7/11   2:20 PM
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