Free Annual Report for Nonprofit Corporations - Arkansas

Annual Report for Nonprofit Corporation
(PLEASE PRINT OR TYPE CLEARLY IN INK)

Report due August 1st 1. The name of the nonprofit corporation is: ___________________________________________________________________ 2. The state or foreign country under whose laws the corporation was incorporated is:_______________________________ 3. a. Registered agent for service of process: Name____________________________________________________________ b. Street address of Registered Agent, in the state of Arkansas: _______________________________________________ ________________________________________________________________________________________________________ 4. Corporation's principal office address: ______________________________________________________________________ ________________________________________________________________________________________________________ 5. Principal officers: Name ________________________________________ ________________________________________ ________________________________________ 6. Board of Directors: (minimum of three (3) persons) Name ________________________________________ ________________________________________ ________________________________________ Address _________________________________________________________ _________________________________________________________ _________________________________________________________ Address _________________________________________________________ _________________________________________________________ _________________________________________________________

Attach additional directors if needed. I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days. Executed this _________________ day of _________________, ________________. _________________________________________ _________
Signature and Title of Governor (Authorized Director or Officer)

__________________________________________________
Printed Name of Governor (Authorized Director or Officer)

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NP-AR Rev. 03/08