Annual Maintenance (For Profit) 1. What is your company name?*2. Have you changed your corporate address or opened up additional office (s)?YesNoa. If yes, Please provide new address information.3. Has there been a change in authorized number of directors during the past year?YesNoa. If so, please indicate the change in number and the date of the change.4. Are there any new directors?YesNoa. What are the names of the new directors?5. Has there been any change of officers?YesNoa. If different from previous year, what are the names of the officers?a.i. President/CEOa.ii. Vice Presidenta.iii. Treasurer/CFOa.iv. Secretarya.v. Other (name office)6. Are there any new shareholders?YesNoa. If so, what are the names of any new shareholders? Indicate the date of issuance of the shares and the number of shares issued7. Has there been a change in the identities of licensed employees performing professional services?YesNoa. If yes, include name and license number.8. Has there been a change in corporate bank accounts or authorized signatories?YesNoa. If yes, please provide the following data:a.i. New Account Name 1a.ii. New Authorized Signature 1a.iii. New Account Name 2a.iv. New Authorized Signature 29. Have you paid bonuses to officers or employees for this year?YesNoa. If yes, please provide the name and dollar amount for each.10. Have you paid salaries to officers for this year, exclusive of bonuses?YesNoa. If yes, please provide the name and dollar amount for each.11. Has your company made a contribution to a pension plan for this year?YesNoa. If yes, please provide the dollar amount12. Has your company made a contribution to a profit-sharing plan for this year?YesNoa. If yes, please provide the dollar amount13. Has your company paid any dividends this year?YesNoa. If yes, please provide the dollar amount14. Is your company an S Corporation?YesNoa. If yes, what is the amount of distribution to shareholders of earnings for fiscal year ended?15. Has there been any significant changes in your company's medical disability or life insurance coverage?YesNoa. If so, please describe.16. Has the company borrowed monies during this year? (Attach loan documents to your minutes if from institutional lender).YesNoa. If so, please provide approximate date, amount, from whom, and the purpose.17. Has the company loaned monies during this year? (Attach loan documents).YesNoa. If so, please provide approximate date, amount, to whom, and the purpose.18. Has your company purchased or leased equipment, vehicles, leasehold improvements, real property, etc. this year? (Attach copy of lease or purchase order or invoice, or give details including price, description, and date).YesNoa. If so, please provide the date, price, and description for each.19. Has your company sold any assets this year?YesNoa. If so, state approximate dates, amounts, and description of items.20. Has your company opened any new bank accounts during the year?YesNoa. State the names, branches of banks, dates opened, type of account, and persons authorized to sign for each account.21. Have you changed your corporate accountant?YesNoa. If yes, please provide the name, address, and phone number.22. Is the annual revaluation of your company’s stock required under provisions of existing stock purchase agreement?YesNoa. If so, state such value as re-determined at time of annual shareholder’s meeting.23. Did the company begin using a new fictitious name during the year?YesNoa. If yes, state such name, effective date of use, and state or county where the name is held.24. Has there been any other corporate activity that you would like to reflect in your minutes?YesNoa. If so, please explain.
