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Michigan Corporation List of Shareholders Form

In the case of corporation requiring modifications to an annual report that has already been submitted, the Michigan Corporation List of Shareholders Form has to be completed and submitted.

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PROFESSIONAL SERVICE CORPORATION
LIST OF SHAREHOLDERS
SUBMIT ONE COPY WITH YOUR MICHIGAN INFORMATION UPDATE FOR YEAR_______
NAME OF CORPORATION________________________________________________________________
Section 15, Act 192, P.A. of 1962, as amended, requires that the annual report, Information Update, shall list the
names and post office address of all shareholders.
The corporation certifies that the corporation meets the requirements of the act and the names and post office addresses
of all shareholders of the corporation are:Identification Number Name Name
 Name  Name
 Name
 Name
 Name
 Name
 Name
 Name
 Name
 Name
 Name
 Name
 Name
 Name
 Name
 Name
 Name
 Name
 NamePost Office Address
Post Office Address
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Post Office Address
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Post Office Address
Post Office Address C&S 314 (Rev. 1/00)
Next: Massachusetts Corporation Reinstatement Following Administrative Dissolution Form Previous: Michigan Domestic Corporation Articles of Incorporation Abandonment Form
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