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                                                     STATE OF SOUTH CAROLINA                                     CL-1 
                                                    DEPARTMENT OF REVENUE                                        (Rev. 5/4/23) 
      dor.sc.gov                                                                                                 3134
                                    INITIAL ANNUAL REPORT OF CORPORATIONS
                                    Pay the $25 minimum License Fee when you file your CL-1.
Submit your CL-1 and the $25 fee online at sos.sc.gov/online-filings when registering your business with the South 
Carolina Secretary of State (SCSOS). 
Section A: Identifying information 
Business's legal name:                                                             FEIN:
Date your business commenced in SC:                                                Date of incorporation:
State of incorporation:                                                            Country of incorporation:
Month your corporation closes its books (select one):
Jan                  Feb Mar        Apr   May        Jun                    Jul    Aug    Sept           Oct     Nov    Dec
Nature of business:                                                                Check if Subchapter S election

Section B: Contact information
Phone # (including area code):                                                     Email:
Address of the principal office:
Street:
City:                                                                       State:                          ZIP:
Mailing address:
Street:
City:                                                                       State:                          ZIP:
Registered agent's name:
Registered agent's address:
Street:
City:                                                                       State:                          ZIP:

Section C: Number of shares                         
Total number of authorized shares of capital stock itemized by class and series, if any, within each class:
Number of shares                                      Class                                                      Series

Total number of issued and outstanding shares of capital stock itemized by class and series, if any, within each class: 
Number of shares                                      Class                                                      Series

Section D: Owner/officer/director information  
                     
Name/Title                                                                  Address                                  SSN

Section E:  Signature 
                     I, the undersigned incorporator or principal officer of the corporation for which this return is made, declare that this return, including 
accompanying statements and schedules, has been examined by me and is to the best of my knowledge and belief a true and 
complete return made in good faith.

Preparer's printed name                                                Date         Signature of incorporator or officer authorized to sign 

      31341035

                                                      Instructions
What you need to know:
You must submit a CL-1 and a $25 minimum License Fee to the SCSOS if you are a: 
 · domestic corporation filing your initial Articles of Incorporation, or 
 · foreign corporation filing an Application for Certificate of Authority to Transact Business in South Carolina.  
 
For faster results, submit your CL-1, and pay the $25 minimum License Fee online at sos.sc.gov/online-filings when  
registering a business with the SCSOS. 
 
If you did not register with the SCSOS, you must still submit the CL-1 and the $25 minimum License Fee to the South Carolina  
Department of Revenue (SCDOR) within 60 days after commencing business in South Carolina or using a portion of your  
capital in the state if you: 
 · are taxed as a corporation, and     
 · aren't exempt under SC Code Section 12-20-110, available at dor.sc.gov/policy.   
 
LLCs should only complete the CL-1 if they're taxed as a corporation. 
 
To submit the CL-1 to the SCDOR while registering a new business, use our online tax portal, MyDORWAY.dor.sc.gov. Select 
Business Tax Application to get started. During the registration process, you'll be prompted to pay the $25 minimum License Fee. 
 
Submit your completed CL-1 to the SCDOR as a web message by logging in to MyDORWAY.dor.sc.gov, selecting the More tab, then 
clicking Send the SCDOR a Message. 
 
Failure to file your CL-1 and pay the $25 License Fee within 60 days after commencing business in South Carolina could result in: 
 · interest charged at the prevailing federal rate. 
 · a late file penalty of 5% per month, not to exceed 25%. 
 · a late pay penalty of 0.5% per month, not to exceed 25%. 

Section A: Identifying information 
 · Enter your business's legal name. 
 · Enter your FEIN. If you don't have a FEIN, apply for a number at irs.gov. 
 · Enter the date you commenced business in South Carolina. If your business has not started at the time of filing, provide your 
         expected start date.  
 · Enter your date of incorporation.  
 · Enter your state of incorporation and country of incorporation. 
 · Check the box to let us know the month your corporation closes its books. If you haven't established a year-end date yet, 
         enter Not Known. The default year end is December. 
 · Enter a brief description of the nature of your business. 
 · Check the box to let us know if you made a Subchapter S election. 
 
Section B: Contact information 
 · Enter your phone number, with area code. 
 · Enter your email address. 
 · Enter the street address of your principal office. 
 · Enter the mailing address your business is using to receive tax correspondence. 
 · Enter your registered agent's name and address. The registered agent must be a South Carolina resident.  
 
Section C: Total number of shares  
 · Enter the total number of authorized shares of capital stock. Itemize by class and series. Add more lines if needed.  
 · Enter the total number of shares of capital stock issued and outstanding. Itemize by class and series. Add more lines if 
         needed. If no shares have been issued at the time of filing, enter NA in the space provided.   
 
Section D: Owner/officer/director information 
 · Enter the name, title, address and SSN for each owner/officer/director of your business.  If all positions have not been filled, 
         provide the names and positions known at the time of filing.  
 
Section E: Signature 
 · The owner, officer, or director of your business must sign this form.  
 
Social Security Privacy Act Disclosure 
It is mandatory that you provide your Social Security Number on this tax form if you are an individual taxpayer. 42 U.S.C. 405(c)(2)(C)(i) 
permits a state to use an individual's Social Security Number as means of identification in administration of any tax. SC Regulation 
117-201  mandates  that  any  person  required  to  make  a  return  to  the  SCDOR  must  provide  identifying  numbers,  as  prescribed,  for 
securing proper identification. Your Social Security Number is used for identification purposes.