2023 
                                                                                                                                                                                                                                                               ANNUAL REPORT                                                                    
                                                                                                                                                                                 MARYLAND STATE DEPARTMENT OF ASSESSMENTS AND TAXATION                                                                                                                                                                                                    Form 1    th 
                                                                                                                                                                                 Business Services Unit, P.O.                                                        Box 17052,                             BALTIMORE,                         MARYLAND                                              21297-1052                          Due  April 17
                                                                                                                                                                                                                                                                                                                                                                                                                                         Date  Received  
          Type of Business                                                                                                                                                                                                              Dept.ID              Filing          Type of Business                                                                                                           Dept. ID           Filing        by Department  
          Check one business type below                                                                                                                                                                                                 Prefix               Fee             Check one business type below                                                                                              Prefix             Fee  
                                                                                                              Domestic or Foreign Stock Corporation                                                                                      (D) or (F)            $300          Domestic or Foreign Limited Liability Company                                                                                 (W) or (Z)      $300  
          Domestic or Foreign Non Stock Corporation                                                                                                                                                                                      (D) or (F)            -0-               Domestic or Foreign Limited Partnership                                                                                   (M) or (P)      $300  
                                                                                                                         Domestic or Foreign Statutory Trust                                                                             (B          o (S)     $300          Domestic or Foreign                                            Limited                           Liability Partnership        (A) or (E)      $300  
                                                                                                                         Foreign Interstate Corporation                                                                                  (F)                   -0-                                          Foreign Insurance Corporation                                                                        (F)       $300  
                                                                                                                         SDAT Certified Family Farm                                                                                     (A,D,M,W)              $100                                         Real Estate Investment Trust                                                                         (D)       $300  
                                                                                                                         For Immediate Submission – File Online at                                                                                                              https://egov.maryland.gov/BusinessExpress/  

     The business has been approved by MarylandSaves for a waiver of its 2023 Annual Report filing fee.  [ ]                                                                                                                                                                                                                                                                                                                Yes  [ ] No       

     SECTION I – ALL BUSINESS ENTITIES COMPLETE                                                                                                                                                                                                                                                                               PLEASE CHECK HERE IF THIS IS AN AMENDED REPORT                                                                                   
        NAME OF BUSINESS                                                                                                                                                            

        MAILING ADDRESS                                                                                                                                                           
        [                                                                                                       Check here   if this     is a change                                       of mailing                                    address. 
        PLEASE NOTE  : This                                                                                                                                                  will  not change     your                                   principal           office address. You 
        must file a Resolution to Change a Principal OfficeAddress.  

        DEPARTMENT ID    NUMBER  
        (Letter Prefix followed   by 8-digits) 

        FEDERAL EMPLOYER                                                                                                                                                             IDENTIFICATION NUMBER 
        (9-digit number assigned   by the                                                                                                                                              IRS) 

        FEDERAL PRINCIPAL                                                                                                                                                            BUSINESS                                            CODE 
                                                                                                                (If known,                                           the 6-digit number   on file with                                   the IRS) 
        NATURE OF BUSINESS 
        TRADING AS NAME 

        EMAIL  ADDRESS  
        Include   an email   to receive                                                                                                                                              important reminders                                                from the Department   of Assessments                                               and Taxation 

  SECTION     II - ONLY                                                                                                                                                          CORPORATE                                               ENTITIES                 COMPLETE 
  A. Corporate Officers (names and mailing                                                                                                                                                                                                               addresses)

  President                                                                                                                                                                                                                                                                                                    Vice  President  

  Secretary                                                                                                                                                                                                                                                                                                    Treasurer  

  B. Directors (names only)

SECTION     III – Completion                                                                                                                                                         Required Pursuant   MDto                                                         Code, Tax                             Property                           Article                                 §11-101 

A.   Is this business a (1) commercial enterprise or business that is formed in Maryland or does business in Maryland; or (2) a corporation,
     foundation, school, hospital,   or other                                                                                                                                                      legal                                             entity  for which none   of the                           earnings                        inure   to the                                       benefit   of any    private  shareholder   or individual
     holding an interest in the entity?                                                                                                                                                                                                                                                                     [] Yes  [ ] No                      

  If you answeredNo“                                                                                                                                                    ” to Question A,           please proceed to Question E. By proceeding to Question E, your signing of this Annual Report 
confirms, under penalties   of perjury, that                                                                                                                                                   the                                      entity          filing this  Annual  Report   is not                                               required   to submit   a Corporate                                            Diversity Addendum.           Please see 
Instructions for additional information. If you answered “Yes” to Question A, please proceed to Questions B, C, and D.  

B.   Is this business   a limited                                                                                                                                                 liability  company                                                 (LLC)   owned    by   a single                         member?                                                                                                               [Yes ]        No[ ]  
C.   Is this business   a privately                                                                                                                                                  held  company                                       with   at least             75%   of the                           company’s                        shareholders                                          who are family        members?         [ ] Yes  [ ] No
D.   Is this business an entity that (1) has an annual operating budget or annual sales less than $5,000,000;                                                                                                                                                                                                                                                                                                               [ ]   Yes  [ ]   No 
                                                                                                              and (2) does not qualify or seek                                                     to   qualify for                                            a   "State benefit"                          as defined                       below                                              ? 
                                                                                                                                                                                                                                                                       
                                                                                                              TPS_Form Annual1 Report  Revised 1/27/2023                                                                                                                                                                                                                        Page 1 of       https://dat.maryland.gov2                 

     Department      ID #                                                                                                                                                      2023 
                                                                                                                                                                               Form    1 
                                                                                                                                                                          Annual  Report  

A “State benefit” means (1) a State capital grant funding totaling $1.00 million or more in a single fiscal year; (2) State tax credits totaling $1.00 
million   orin a single      fiscal        year; or   (3) the         receipt of   a State contract with a total value of   $1.00 million or   more. “State           contract” means a contract  
that (a) resulted from a competitive procurement process  and (b) is not federally funded in any way.  

If you answered “Yes” to Question B, C, or D, please proceed to Question E. By proceeding to Question E, your signing of this Annual Report  
confirms, under penalties   of perjury,                         that the entity filing this   Annual   Report   is not required   to submit   a Corporate         Diversity Addendum.     Please see 
Instructions for additional information.  

If you answered “No” to Questions B, C, and D, you are legally obligated to complete and return to SDAT with this Annual Report a Corporate 
Diversity Addendum that is required by COMAR 24.01.07. The Addendum  and instructions for submitting the Addendum may be found at    
https://dat.maryland.gov/Pages/sdatforms.aspx  . Failure   to complete                                  and  return the Addendum   to SDAT              may   prohibit  you    from receiving certain 
State benefits. Please see Instructions for additional information.  

E.        Required information for certain corporations. Please                                            see     instructions for more              information.
      Total number of                      directors                                                                   Total number of female directors 

  SECTION     IV – ALL BUSINESS                                         ENTITIES     COMPLETE 

A. Does the       business                 own,             lease,   or use personal  property,   including     inventory,   located   in Maryland            with    a   [ ]  Yes  [ ]  No  
     total original cost   of $20,000   or more?

If you answered “No”, the business is not required to file a Business Personal Property Tax Return pursuant to MD Code,  Tax Property 
Article §7-245.   If you answered “Yes                            ”, you    must complete     and return   a Business  Personal             Property Tax Return      with this Annual Report. 

      B.Did the      entity        dispose,                 sell   or transfer ALL     of its business personal property prior   to January          1? [   ]Yes  [ ] No

  If you  answered yes  , please                            complete  form SD-1.   Do not     complete the Business    Personal             Property Return.  For religious  groups   and 
charitable or educational organizations, the form SD-1 is  optional.  

  SECTION     V – ALL BUSINESS                                          ENTITIES     COMPLETE 
By signing this  form below, you declare and attest, under the penalty of perjury, and pursuant to Tax-Property Article §1-201 of the 
Annotated Code   of Maryland, that the statements                              made   in this Annual    Report,    including those          on  any  accompanying      forms,  schedules, 
and/or statements, has been examined by you and, to the best of your knowledge and belief, is a true, correct, and complete Annual  
Report for the Entity listed in Section I.  

                 A. Corporate Officer   or Principal   of Entity:
        PRINT NAME                                                                   X SIGNATURE                                                           _          DATE      _ 

        MAILING  ADDRESS  

        EMAIL  ADDRESS                                                                                                 PHONE  NUMBER  

                 B. Firm   or Individual,                       other   than   taxpayer,      preparing this Annual    Report/Personal              Property  Tax     Return:

        PRINT NAME                                                                   X SIGNATURE                                                           _          DATE      _ 

        MAILING ADDRESS  

        EMAIL  ADDRESS                                                                                                 PHONE  NUMBER  

               PLEASE BE SURE TO SIGN THIS                                     ANNUAL REPORT TO AVOID REJECTION BY THE DEPARTMENT! 
                                                                  If filing by mail, please   return with applicable filing                 fee to:   
                                                            Department of Assessments and              Taxation,   Business  Services           Unit          
                                                                        P.O. Box 17052, Baltimore,  Maryland 21297-1052 
                                                                   File Online: http://egov.maryland.gov/BusinessExpress 
                                                                         410-767-1330    • Email:  sdat.cscc@maryland.gov

                 TPS_Form   1 Annual                        Report 

                  TPS_Form Annual1 Report  Revised 1/27/2023                                                                 Page 2 of      https://dat.maryland.gov2