"Annual Corporation Report Form"

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ANNUAL CORPORATION REPORT
Filing Fee $50.00 / Make Check Payable to: CNMI TREASURER
File Original and Two Copies
FILING:
THE INITIAL REPORT MUST BE FILED WITHIN 60 DAYS OF INCORPORATION.
ST
ANNUAL REPORT MUST BE FILED ON OR BEFORE MARCH 1
OF EACH YEAR.
FILE WITH:
REGISTRAR OF CORPORATIONS
Department of Commerce
Capital Hill
Caller Box 10007
Saipan, MP 96950
INITIAL REPORT
REPORT FOR THE YEAR
CHECK ONE:
(
) Domestic Corporation
(
) Foreign Corporation
Name, Mailing Address & Telephone No. of Corporation:
(Attach map showing location if address is only a P. O. Box)
Telephone Number:
Name, Mailing Address & Telephone No. of Registered Agent: (Attach Map showing location if address is only a P. O. Box)
Telephone Number:
LIST OF DIRECTORS:
(Attach Photo ID or Business Entry Permit)
Name
Gender
Nationality
Address
LIST OF OFFICERS:
(Attach Photo ID or Business Entry Permit)
Name
Position
Nationality
Address
DESCRIPTION OF BUSINESS ACTIVITIES - List all lines of business:
STOCK ISSUED AND OUTSTANDING;
Number of Shares
Class of Shares
Amount Paid for Shares
______________________________________________________________________
NAME OF SHAREHOLDERS
IMMIGRATION STATUS/GENDER
NATIONALITY
NUMBER OF SHARES HELD
Signature:
Date: _________________________
PRINT NAME & TITLE OF PERSON SIGNING
(Must be Director or Officer of the Corporation.)
ANNUAL CORPORATION REPORT
Filing Fee $50.00 / Make Check Payable to: CNMI TREASURER
File Original and Two Copies
FILING:
THE INITIAL REPORT MUST BE FILED WITHIN 60 DAYS OF INCORPORATION.
ST
ANNUAL REPORT MUST BE FILED ON OR BEFORE MARCH 1
OF EACH YEAR.
FILE WITH:
REGISTRAR OF CORPORATIONS
Department of Commerce
Capital Hill
Caller Box 10007
Saipan, MP 96950
INITIAL REPORT
REPORT FOR THE YEAR
CHECK ONE:
(
) Domestic Corporation
(
) Foreign Corporation
Name, Mailing Address & Telephone No. of Corporation:
(Attach map showing location if address is only a P. O. Box)
Telephone Number:
Name, Mailing Address & Telephone No. of Registered Agent: (Attach Map showing location if address is only a P. O. Box)
Telephone Number:
LIST OF DIRECTORS:
(Attach Photo ID or Business Entry Permit)
Name
Gender
Nationality
Address
LIST OF OFFICERS:
(Attach Photo ID or Business Entry Permit)
Name
Position
Nationality
Address
DESCRIPTION OF BUSINESS ACTIVITIES - List all lines of business:
STOCK ISSUED AND OUTSTANDING;
Number of Shares
Class of Shares
Amount Paid for Shares
______________________________________________________________________
NAME OF SHAREHOLDERS
IMMIGRATION STATUS/GENDER
NATIONALITY
NUMBER OF SHARES HELD
Signature:
Date: _________________________
PRINT NAME & TITLE OF PERSON SIGNING
(Must be Director or Officer of the Corporation.)