Form SS320 "Disclosure of Ownership" - Louisiana

What Is Form SS320?

This is a legal form that was released by the Louisiana Secretary of State - a government authority operating within Louisiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2018;
  • The latest edition provided by the Louisiana Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form SS320 by clicking the link below or browse more documents and templates provided by the Louisiana Secretary of State.

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Download Form SS320 "Disclosure of Ownership" - Louisiana

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S
L
Commercial Division
TATE OF
OUISIANA
(225) 925-4704
S
S
ECRETARY OF
TATE
R. Kyle Ardoin
Fax Numbers
SECRETARY OF STATE
(225) 932-5314 Corporations
(225) 932-5317 Legal Services
(225) 932-5318 UCC
TRANSMITTAL INFORMATION
For All Business Filings
Please indicate below the level of service requested, payment and contact information
Routine
Expedite $30
Priority Expedite $50
24 hour processing
2-4 hour processing
Check or Money Order Enclosed
*Do not put credit card information on this form. You may save payment information in your geauxBIZ profile under master account.
Business Name (List exactly as it appears in documents)
Name of person filing document (evidence of filing will be mailed to this person, at address below)
Address
State
City
Zip Code
Daytime phone number
Fax number
Email address
NOTE: Louisiana Law requires all Louisiana notaries to print or type their name and notary or
bar roll number on the document.
Mailing Address: P. O. Box 94125, Baton Rouge, LA * 70804-9125
Office Location: 8585 Archives Ave., Baton Rouge, LA * 70809
Web Site Address: www.sos.la.gov
SS984 Rev. 06/18
S
L
Commercial Division
TATE OF
OUISIANA
(225) 925-4704
S
S
ECRETARY OF
TATE
R. Kyle Ardoin
Fax Numbers
SECRETARY OF STATE
(225) 932-5314 Corporations
(225) 932-5317 Legal Services
(225) 932-5318 UCC
TRANSMITTAL INFORMATION
For All Business Filings
Please indicate below the level of service requested, payment and contact information
Routine
Expedite $30
Priority Expedite $50
24 hour processing
2-4 hour processing
Check or Money Order Enclosed
*Do not put credit card information on this form. You may save payment information in your geauxBIZ profile under master account.
Business Name (List exactly as it appears in documents)
Name of person filing document (evidence of filing will be mailed to this person, at address below)
Address
State
City
Zip Code
Daytime phone number
Fax number
Email address
NOTE: Louisiana Law requires all Louisiana notaries to print or type their name and notary or
bar roll number on the document.
Mailing Address: P. O. Box 94125, Baton Rouge, LA * 70804-9125
Office Location: 8585 Archives Ave., Baton Rouge, LA * 70809
Web Site Address: www.sos.la.gov
SS984 Rev. 06/18
R. Kyle Ardoin
DISCLOSURE OF OWNERSHIP
Secretary of State
(R.S. 12:1-1622, 12:205 E and 12:304 A (11))
Enclose $20 filing fee
Return to:
Commercial Division
Make remittance payable to
P.O. Box 94125
Baton Rouge, LA 70804-9125
Secretary of State
(225) 925-4704
Do Not Send Cash
www.sos.la.gov
State of
Parish/County of
BEFORE ME , the undersigned Notary in and for the parish/county herein above shown, personally came and
appeared the undersigned who, after being duly sworn, did depose and say that:
Corporation Name
is contracting with the state and listed below are the names and addresses of all persons or corporate entities
who hold ownership interest of five percent or more in the corporation or who hold by proxy the voting power
of five percent or more in the corporation and, if anyone is holding stock in his own name that actually belongs
to another, the name of the person for whom held, including stock held pursuant to a counter letter.
1.
Persons or corporate entities owning 5% or more:
Name
Address
Name
Address
Name
Address
2.
Persons or corporate entities who hold by proxy the voting power of 5% or more:
Name
Address
Name
Address
Name
Address
3.
Stock held for others and for whom held:
Name
Address
For Whom Held
Address
Name
Address
For Whom Held
Address
Name
Address
For Whom Held
Address
Sworn to and subscribed before me, the undersigned Notary Public, on this date:
Notary Signature, Printed Name and Notary /Bar Roll #
Corporation Representative
(See instructions on back)
SS320 Rev. 05/18
INSTRUCTIONS
1.
This form is be used when an existing corporation intends to contract with the state. This
requirement does not apply to non profit corporations organized on a “non stock” basis,
any agreement entered between the state and a corporation for electric or gas service,
publicly traded corporations, or state chartered banks.
2.
You will receive a copy marked “received and filed” by the secretary of state. You may
furnish a photostatic copy of the “filed” form to the appropriate state agency.
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