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                                                                                                                                      Filing Number: _________________
              John Thurston, Arkansas Secretary of State 

              ANNUAL CORPORATION FRANCHISE TAX REPORT 20                                                                                                  24 
              For the year ending 12/31/2023
Reports and taxes are due on or before  May ,12024. Penalty and interest will be due for reports if the United States Postal Service’s 
postmark is after the deadline. Complete this report online at www.sos.arkansas.gov, or sign in black ink and mail to the address 
listed below. 
 1.                                                                                                                            Save Time & File Online  
     Business Name and Address:
                                                                                                                               Anytime Day Or Night At 
 Name:                                                                                                                         www.sos.arkansas.gov 
 Address:                                                           5. Current Names of Corporate Governors:
 City, State, Zip:                                                  President:

 2. Correct any of the below information, if needed:                Vice President:
 Tax Contact Name:                                                  Secretary:
 Address:                                                           Treasurer:
 Address 2:                                                         Controller:
 City, State, Zip:                                                  Tax Preparer:

 Phone # of Tax Contact:                                            Nature of Business:
 E-mail Address:
                                                                    Federal Tax ID#

     ALL INFORMATION IN SECTIONS 3-8                                6.                                               TOTAL AUTHORIZED CAPITAL STOCK 
                   BELOW REQUIRED                                                                                                (See Instruction  )8  
                                                                                                                  NUMBER OF SHARES                       PAR VALUE EACH 
                                                                                                              a)                         $ 
 3. Registered Agent Information:                                                                             b)                         $ 
 Name:                                                                                                        c)                         $ 
 Address:                                                                                                                        NO PAR VALUE = $25 PER SHARE 
 Address 2:                                                         7.                                           ISSUED AND OUTSTANDING CAPITAL STOCK
                                                                                                                                (See Instruction  )9  
 City, State, Zip:                                                                                               NUMBER OF 
                                                                                                                    SHARES       PAR VALUE EACH                 TOTAL 
 4. Principal Office Information (in Arkansas):
                                                                                                              a)                X  $                    = $ 
 Address:
                                                                                                              b)                X  $                    = $ 
 City, State, Zip:
                                                                                                              c)                X  $                    = $ 
                                                                                                              d)   (Add 7a +  b7+  c)7  TOTAL:          = $ 
                                                                                                                                 NO PAR VALUE = $25 PER SHARE 

                                                        X
8.                   ÷                 =                                                                         =                                     =
    Arkansas Real &    Total Real &      Percentage (%)    Amount from Line 9d                                     Arkansas Capital Stock X .003                      TAX DUE 
   Personal Property  Personal Property
    MINIMUM TAX DUE $150 IF LESS THAN $150 PAY $150  CORPORATIONS WITHOUT AUTHORIZED STOCK PAY $300                                                                                                          
     I declare, under the penalties of perjury, that the foregoing statements are true to the best of my knowledge and belief. 
     Executed this ______________ day of _________________________,_____________                                                
                              (Day)                        (Month)                                                       (Year)
      Print Name____________________________________________ Signature____________________________________________ 
                  Must be printed in black ink by: Pres., Vice Pres., Sec., Treas., Cont., or Tax Preparer         Must be signed in black ink by: Pres., Vice Pres., Sec., Treas., Cont., or Tax Preparer      
                          Due on or before May 1, 20    24 Penalty and interest due after May 1, 20                                  24
                                        You may file this online at www.sos.arkansas.gov 
                     Remittance must accompany this report • Make checks payable to Arkansas Secretary of State 
                                         Phone: 501-682-3409 or Toll Free: 888-233-0325 
              Mail to: Business and Commercial Services Division • P.O. Box 8014 • Little Rock, Arkansas 72203-8014 
                                                                                                                                                          Rev. 12/2023



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              ARKANSAS ANNUAL FRANCHISE TAX REPORT – Corporation 

                                  DUE ON OR BEFORE MAY 1 

   Mail Payment To:  Business and Commercial Services P.O., Box 8014, Little Rock, Arkansas 72203 
                Online Filing, Payment, and Information: www.sos.arkansas.gov 
                       Phone: 501-682-3409 or Toll Free: 888-233-0325 

   WHO FILES ANNUAL FRANCHISE TAX REPORTS: All domestic and foreign corporations, associations, 
   organizations,  and  companies  constituting  a  separate  legal  entity  of  relationship  with  the  purpose  of 
   obtaining a privilege or franchise which is not allowed to them as individuals except those exempted by 
   A.C.A.  § 26-54-102. The only exemptions are nonprofit corporations, which are organizations exempt from
   the federal income tax, or organizations formed pursuant to the Uniform Partnership Act, A.C.A. § 4-46-
   101 et seq., or the  Uniform Limited Partnership Act, A.C.A. § 4-47-101 et seq.

1. Business  Name  and  Address:      The  domestic  corporation’s  name  as  it  appears  in  the Articles  of
   Incorporation or the foreign corporation’s name as it appears in the Application for Certificate of Authority.
   a)   DOMESTIC  CORPORATION:          A  corporation  that  has  filed  its  original          Articles  of  Incorporation  in
        Arkansas.
   b)   FOREIGN CORPORATION: A corporation that has filed its original articles of incorporation anywhere
        other than Arkansas and has qualified to receive a Certificate of Authority in Arkansas.
2. Tax  Contact  Name,  Address,  and  Contact  Information:                                  Person  or  firm  designated  to  receive  the
   corporation’s annual franchise tax reporting notifications. Please provide a name, address, phone number,
   and email address.
   a)   RESPONSIBILITY: Corporations not receiving a form by March 20                            must make a written request for
        paper forms. Fillable PDF forms can be downloaded, or franchise taxes can be filed online, through
        the Secretary of State’s website at www.sos.arkansas.gov. All corporations must comply with the
        May 1 due date.
   b)   REPORTING YEAR: The year in which the report is due.
   c)   TAX YEAR: The year ending December 31 preceding the reporting year.
   d)   TAX COMPUTED IN ERROR: Underpayment will be billed to the corporation. Requests for refunds
        must be submitted with proof to the Secretary of State's Business and Commercial Services Division
        at the above address.
   e)   EXTENSIONS: Acts 1046 and 1140 of 1991 eliminated the opportunity to request an extension. ALL
        REPORTS ARE DUE ON OR BEFORE MAY 1.
   f)   FAILURE TO FILE REPORT: Per A.C.A. § 26-54-107 and 114, corporations shall pay an additional
        penalty plus interest for late filing of the report or late payment of the tax. In order to be considered
        timely, tax reports and payments must be received by the Secretary of State's office no later than
        the close of business on May 1 or must be postmarked by the United States Postal Service no later
        than midnight on May 1. Postage meter dates are not acceptable for the purpose of determining the
        timely receipt of a tax form and/or payment. See A.C.A. § 26-18-105.

        Calculate late franchise taxes, interest, and penalties: 
              A.  Original Tax (Due May 1)                               $____________________ 
              B. Late Filing Penalty                                  + $25.00
              C. Tax and Penalty  otalT                               = $____________________ 
              D. Interest: (C) x .000274 x (# of Days Deficient)  = $____________________
              E. Total Tax Due: (C)+(D)                               = $____________________ 

                                                                                                    Rev. 12/23



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        If you have any questions determining your payment and/or late fees, please contact the Secretary 
        of State’s office at 501-682-3409 or Toll Free: 888-233-0325. 
3. Registered Agent Information: The registered agent is a person or entity designated by the corporation
   to receive any service of legal action or other official communication on its behalf. Many corporations use
   its attorney or a professional corporate service company for this service. The registered agent’s address
   must be a street address in Arkansas, and the agent must be located at that address. A post office box or
   “mail drop” may NOT be used as the registered agent address. For more information on registered agents,
   please refer to A.C.A. § 4-20-101 et seq.
4. Principal Office Information: Address of place of business of the executive offices of the corporation.
5. Current Names of Corporate Governors:                                                         Names of the corporation’s  president,  vice  president,
   secretary, treasurer, controller, and tax preparer.
   a) Nature of Business: The type of sector or industry to which the corporation belongs.
   b) Federal Tax ID Number - The business federal tax or EIN number issued by the Internal Revenue
      Service.
6. Total Authorized Capital Stock:                                                  The number of shares and the par value of these shares that may be
   issued by a corporation. (NO PAR VALUE = $25 PER SHARE)
7. Issued and Outstanding Capital Stock:                                                         The portion of a corporation’s stock issued for cash or other
   considerations. (NO PAR VALUE = $25 PER SHARE)
8. Assets and Tax Calculation (A.C.A.  § 26-54-104(6)(A)):
   a) Assets: The value of the real and personal property of the corporation.
      •     Arkansas Assets: All assets applicable to Arkansas according to the balance sheet.
      •     Total Assets: Total assets of the corporation according to the balance sheet.
   b) Tax Calculation: The minimum tax due is $150. Corporations without authorized stock pay $300.
   c) Tax Calculation Formula:

   Step #1: $ __________ (ARKANSAS ASSETS)   $__________ (TOTAL ASSETS) = ________% (PERCENTAGE)÷
   Step #2:  ______% (PERCENTAGE) X $ _______ (AMOUNT FROM LINE 9d) = $ __________ (ARKANSAS CAPITAL 
   STOCK) Step #3:  $ ___________________ (ARKANSAS CAPITAL STOCK) X (.003) = $ ___________________ TAX DUE 

SIGNATURE:    Corporation reports shall be signed in                                             black ink by one of the following: president, vice
president, secretary, treasurer, controller, other authorized person, or the tax preparer.

ADDITIONAL INFORMATION 

1. AMENDMENTS:                     Changes,  such  as  name,  merger,  etc.,  must  be  filed  through  the  Secretary  of  State
   Business and Commercial Services Division. Notations on the annual report form will not suffice. Forms
   for  changes  may  be  obtained  online  at  www.sos.arkansas.gov,  or  by  writing  or  calling  the  Arkansas
   Secretary of State Business and Commercial Services Division.
2. DISSOLUTION OR WITHDRAWAL:                                                                   Any corporation wishing to cease operations must file a dissolution
   or withdrawal document through the Business and Commercial Services of Secretary of State. See
   above for contact information.

                                                                                                              Rev. 1 /2 23






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