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Initial Annual Report of Corporations (South Carolina)

This is an initial annual report of corporations in South Carolina. The form provided here is simply a sample of what the actual Form CL-1 looks like.

STATE OF SOUTH CAROLINA
DEPARTMENT OF REVENUE
INITIAL ANNUAL REPORT OF CORPORATIONS

CL-1


File Number _______________________________

ENDING PERIOD _______________________________ (Month/Year)

SID number _______________________________


NAME OF CORPORATION _______________________________

ADDRESS OF CORPORATION (NUMBER AND STREET)

_______________________________

CITY _______________________________

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. State of incorporation: _______________________________

2. Nature of principal business in South Carolina:

_______________________________

3. Location of registered office of the corporation in the state of South Carolina is

_______________________________

in the city of _______________________________.

Registered agent at such address is

_______________________________

_______________________________

4. Location of principal office in South Carolina (street, city and county):

_______________________________

_______________________________

5. Date business commenced in South Carolina:

_______________________________

Telephone # _______________________________

6. Indicate date corporation closes its books:

_______________________________

7. 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?

_______________________________

8. 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 _______________________________


SSN _______________________________

Name/Title _______________________________

Business Address and Office _______________________________

9. 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 _______________________________


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 _______________________________


Number of Shares _______________________________

Class _______________________________

Series _______________________________


1. Fee due with this report . . . . . . . . . . . . . . . . . 1. 25.00

2. Interest due. . . . . . . . . . . . . . . . . . . . . . . . . . . 2. _________________

3. Penalty due. . . . . . . . . . . . . . . . . . . . . . . . . . . 3. _________________

4. Total - Fee, Interest and Penalty
(Make remittance payable to SC Department of Revenue.)

. . . . . . . . 4. $_____________________

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 _______________________________

DATE _______________________________

SIGNATURE OF INCORPORATOR OR OFFICER AUTHORIZED TO SIGN _______________________________

TITLE _______________________________


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INSTRUCTIONS FOR FILLING OUT THIS FORM
-----------------------------

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.

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

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

____ 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.)

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

____ 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

____ 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. "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.

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