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                                                                                                                                              Filing Number __________________
                  John Thurston, Arkansas Secretary of State 

                  ANNUAL BANK FRANCHISE TAX REPORT 20                                                                                         24 
                  For the year ending 12/31/2023

Reports  and  taxes  are  due  on  or  before    May  1,  2024.  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.   Business Name  and Address:                                                                                                        Save Time & File Online  
                                                                                                                                        Anytime Day Or Night At 
      (Name)                                                                                                                            www.sos.arkansas.gov 

      (Address)
                                                                         5.                                                 TOTAL AUTHORIZED CAPITAL STOCK 
      (City, State, Zip Code)                                                                                                             (See Instruction  )5  
2. Correct any of the below information, if needed:                                                                      NUMBER OF SHARES                         PAR VALUE EACH 
Tax Contact Name:                                                                                                    a)                          $ 
Address:                                                                                                             b)                          $ 
Address 2:                                                                                                           c)                          $ 
City, State, Zip:                                                                                                                  NO PAR VALUE = $25 PER SHARE 

Phone # of Tax Contact:
                                                                         6.                                             ISSUED AND OUTSTANDING CAPITAL STOCK
E-mail Address:                                                                                                                          (See Instruction  )6  
                                                                                                                        NUMBER OF 
Required Information:                                                                                                      SHARES         PAR VALUE EACH              TOTAL 
Federal Tax ID#:                                                                                                     a)                  X  $                    = $ 
3.                                                                                                                   b)                  X  $                    = $ 
      ___    A LL OF THE INFORMATION IN SECTIONS 4,         5, &   6
      HAS  BEEN  VERIFIED  AND  HAS  BEEN  FOUND  TO  BE                                                             c)                  X  $                    = $ 
      EXACTLY THE SAME AS LAST YEAR’S REPORT.                                                                        d)   (Add 6a + 6b + 6c) TOTAL:              = $ 
                                                                                                                                   NO PAR VALUE = $25 PER SHARE 

4. State of:
 County of:     
 Date of Qualification: 

                         ÷                      =
7.                                                              X                                                       =                                       =
  Arkansas Real &              Total Real &      Percentage (%)   Amount from Line 6d                                     Arkansas Capital Stock X .003                     TAX DUE 
Personal Property              Personal Property
       MINIMUM TAX DUE $150 • IF LESS THAN $150 PAY $150  • BANKS 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, 2024 – Penalty and interest due after May 1, 2024 
                                                 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 – Bank

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 total = $____________________
D. Interest: (C) x .000274 x (# of Days Deficient) = $____________________
E. Total Tax Due: (C)+(D) = $____________________

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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. Identical Information: If ALL of the information in Sections #4, #5, and #6 is identical as set forth in the
prior year’s annual report, you may simply check box #3 on the form, sign the report and submit the report
with payment.
4. Foreign Corporation Information:
a) State of Incorporation: Where the original articles of incorporation were filed, anywhere other than
Arkansas
b) County of Incorporation: County of the corporate headquarters.
c) Date of Qualification: The date of incorporation anywhere other than the State of Arkansas.
5. 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)
6. Issued and Outstanding Capital Stock: The portion of a corporation’s stock issued for cash or other
considerations. (NO PAR VALUE = $25 PER SHARE)
7. 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 6d) = $ __________ (ARKANSAS CAPITAL
STOCK) Step #3: $ ___________________ (ARKANSAS CAPITAL STOCK) X (.003) = $ ___________________ TAX DUE
8. 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.

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