JetForm CL 1 Form

User Manual: CL-1

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STATEOFSOUTH CAROLINA
DEPARTMENTOFREVENUE
INITIALANNUALREPORTOFCORPORATIONS
CL-1
(Rev.6/10/99)
3134
FileNumberENDINGPERIODSIDnumber
4 4 MonthYear
NAMEOFCORPORATION
ADDRESS OFCORPORATION(NUMBERAND STREET)
CITYAND STATEZIPCOUNTY
Date"ApplicationforCharter"filedwithSecretaryofState
Date of"Requestforauthoritytodobusiness inthis state"(Foreign Corp.)
IRS EmployerIdentificationNumberBusiness Code
(Office Use Only)
ForSecretaryofStateUse Only
1.State ofincorporation:
2.Nature ofprincipalbusiness inSouthCarolina:
3.Locationofregisteredoffice ofthecorporationinthestate ofSouthCarolinaisinthe
cityof.Registeredagentatsuchaddress is.
4.LocationofprincipalofficeinSouthCarolina(street, cityandcounty):
5.Datebusiness commencedinSouthCarolina:Telephone#
6.Indicatedatecorporationclosesitsbooks:
7.Ifaprofessionalcorporation,are all shareholders,one-halfofthedirectors(orindividualsfunctioningasdirectors)
andall officers(otherthanthesecretaryandtreasurer) qualifiedtopracticetheprofessionalservicesengagedinby
thecorporation?
8.Thenamesand business addressesofthedirectors(orindividualsfunctioningasdirectors)and principalofficersin
thecorporationare:
9.Thetotalnumberofauthorizedsharesofcapitalstockitemized byclass andseries,ifany,withineachclass isas
follows:
10.Thetotalnumberofissuedandoutstandingsharesofcapitalstockitemized byclass andseries,ifany,withineach
class isasfollows:
1.Fee duewiththisreport.................................................... 1.
2.Interestdue............................................................. 2.
3.Penaltydue............................................................. 3.
4.Total-Fee,InterestandPenalty
(MakeremittancepayabletoSC DepartmentofRevenue.)........................ 4.$
SSN Name/TitleBusiness Address andOffice
4
4
4
4
AFFIDAVIT
I, theundersignedincorporatororprincipalofficerofthecorporationforwhichthisreturnismade,declarethat thisreturn,including
accompanying statementsand schedules,hasbeenexamined bymeand istothebestofmyknowledgeand beliefatrueand
completereturnmadein goodfaith.
THISRETURN PREPAREDBY
DATE
SIGNATUREOFINCORPORATOROROFFICERAUTHORIZEDTOSIGN
TITLE
NumberofSharesClass Series
NumberofSharesClass Series
25 00
ATTACH REMITTANCE HERE
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. when filing the initial Articles of Incorporation,
2. when filing the Application for Certificate of Authority by a foreign corporation to transact business in South Carolina or
3. 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.
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.
INITIAL ANNUAL REPORT - CL-1
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. "Corporation" should be interpreted to mean limited liability company or association;
2. "State of incorporation" should be read to mean state of organization;
3. "Shareholders" should be interpreted to mean members;
4. "Director" or "officer" should be interpreted to mean manager or managing member; and
5. "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.
LINEINSTRUCTIONS

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