JetForm CL 1 Form

User Manual: CL-1

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CL-1

STATE OF SOUTH CAROLINA

DEPARTMENT OF REVENUE

(Rev. 6/10/99)
3134

INITIAL ANNUAL REPORT OF CORPORATIONS
4 File Number

4 ENDING PERIOD

SID number
Month

Year

NAME OF CORPORATION
ADDRESS OF CORPORATION (NUMBER AND STREET)
CITY AND STATE

ZIP

COUNTY
For Secretary of State Use Only

Date "Application for Charter" filed with Secretary of State
Date of "Request for authority to do business in this state" (Foreign Corp.)
IRS Employer Identification Number
Business Code
(Office Use Only)

1.
2.
3.

State of incorporation:
Nature of principal business in South Carolina:
Location of registered office of the corporation in the state of South Carolina is
city of
. Registered agent at such address is

4.
5.
6.
7.

Location of principal office in South Carolina (street, city and county):
Date business commenced in South Carolina:
Telephone #
Indicate date corporation closes its books:
If a professional corporation, are all shareholders, one-half of the directors (or individuals functioning as directors)
and all officers (other than the secretary and treasurer) qualified to practice the professional services engaged in by
the corporation?
The names and business addresses of the directors (or individuals functioning as directors) and principal officers in
the corporation are:
SSN
Name/Title
Business Address and Office

ATTACH REMITTANCE HERE

8.

9.

in the
.

The total number of authorized shares of capital stock itemized by class and series, if any, within each class is as
follows:
Number of Shares
Class
Series

10. The total number of issued and outstanding shares of capital stock itemized by class and series, if any, within each
class is as follows:
Number of Shares
Class
Series

1.
2.
3.
4.

Fee due with this report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Interest due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Penalty due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total - Fee, Interest and Penalty
(Make remittance payable to SC Department of Revenue.) . . . . . . . . . . . . . . . . . . . . . . . .

4 1.
4 2.
4 3.
4 4.

25 00

$

AFFIDAVIT
I, the undersigned incorporator or principal officer of the corporation for which this return is made, declare that this return, including
accompanying statements and schedules, has been examined by me and is to the best of my knowledge and belief a true and
complete return made in good faith.

THIS RETURN PREPARED BY

SIGNATURE OF INCORPORATOR OR OFFICER AUTHORIZED TO SIGN

DATE

TITLE

INITIAL ANNUAL REPORT - CL-1
The Initial Annual Report of Corporation is required to be filed together with a remittance of the minimum license fee required
by Sections 12-20-40 and 12-20-50 of the 1976 Code as amended:
1.
2.
3.

when filing the initial Articles of Incorporation,
when filing the Application for Certificate of Authority by a foreign corporation to transact business in South Carolina or
on or before sixty days after commencing business in South Carolina, or using a portion of capital in this state or acquiring
ownership of, commencing maintenance of or commencing operation of one or more establishments or plants in this state.
q

The minimum fee of twenty-five ($25.00) dollars must be paid at the time such report is filed.

q

Interest due at the prevailing federal interest rate if this return is not filed within 60 days after commencing business in
this state.

q

Late filing of this return will incur a delinquent penalty of 5% per month not to exceed 25%.
(If not filed within sixty (60) days of the due date the penalty will not be less than the lesser of one hundred ($100.00)
dollars or the amount of the fee due.)

q

Late payment of the license fee will incur a penalty of 1/2% per month not to exceed 25%.

q

Make remittance payable to SC Department of Revenue and mail to SC Department of Revenue, License and
Registration Unit, Columbia, SC 29214-0140.
LINE INSTRUCTIONS

q IRS Employer Identification Number - If this number has not been obtained, write "applied for" or "to be applied for" in the
space provided. This number can be obtained by filing Form SS-4 with the IRS.
Line 4 - If principal office is not in existence at the time of filing, write "not established" in the space provided.
Line 5 - If business has not started at the time of filing, state expected date.
Line 6 - If year end date has not been established, write "not known" in the space provided.
Line 8 - If all of these positions have not been filled, please indicate and provide names and positions known at the time of
filing.
Line 10 - If no shares have been issued at the time of filing, please indicate.

Special Instructions for Limited Liability Companies Taxed for Income Tax Purposed as Corporation and Professional or
Other Associations Taxed for Income Tax Purposes as Corporations.
If your organization is either a limited liability company or an association taxed for income tax purposes as a corporation,
some of the terms used in this form may require a reading suited to your organization. As examples:
1.
2.
3.
4.
5.

"Corporation" should be interpreted to mean limited liability company or association;
"State of incorporation" should be read to mean state of organization;
"Shareholders" should be interpreted to mean members;
"Director" or "officer" should be interpreted to mean manager or managing member; and
"Incorporator" should be read to mean person forming the association or limited liability company.

Sections requesting certain information such as number of shares of stock may not apply to your organization and should be
so indicated.



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