Annual Report Template

Domestic Non-Profit Corporation

PandaTip:  States require that non-profit corporation complete and submit an annual report that identifies key information about the business.  A “domestic” corporation is one that was created in the same state where it is doing business.  This form covers the information most frequently needed, but you should confirm with the Secretary of State’s website for your state.

Corporation Name:                                                               Date Incorporated:

[CORPORATION NAME]                                                   [INCORP DATE]

Entity Number:                                                                     FEIN:

[ENTITY NUMBER]                                                           [FEIN NUMBER]

 

PandaTip:  This number is often assigned when a corporation is created.  FEIN or EIN stands for the employer identification number that each corporation should have obtained around the same time as incorporation.

Principal Place of Business (Physical Address):

[PRINCIPAL BUSINESS STREET ADDRESS 1]

[PRINCIPAL BUSINESS STREET ADDRESS 2]

[PRINCIPAL BUSINESS CITY], [PRINCIPAL STATE] [PRINCIPAL ZIP]

PandaTip:  Legal implications that attach to the location of your principal place of business, such as where a lawsuit may be brought.

Mailing Address:

[MAILING ADDRESS 1]

[MAILING ADDRESS 2]

[MAILING CITY], [MAILING STATE] [MAILING ZIP]

Name and address of Registered Agent:

[REGISTERED AGENT]

[RA STREET ADDRESS 1]

[RA STREET ADDRESS 2]

[RA CITY], [RA STATE] [RA ZIP]

PandaTip:  The Registered Agent for a corporation is an individual located within the state that is authorized to accept service of process, such as a summons and complaint if a lawsuit is filed against the company.

Officers and Directors:

President/CEO:

[PRESIDENT]

[PRESIDENT ADDRESS 1]

[PRESIDENT ADDRESS 2]

[PRESIDENT CITY], [PRESIDENT STATE] [PRESIDENT ZIP]

Secretary:

[SECRETARY]

[SECRETARY ADDRESS 1]

[SECRETARY ADDRESS 2]

[SECRETARY CITY], [SECRETARY STATE] [SECRETARY ZIP]

Treasurer/CFO:

[TREASURER]

[TREASURER ADDRESS 1]

[TREASURER ADDRESS 2]

[TREASURER CITY], [TREASURER STATE] [TREASURER ZIP]

Director:

[DIRECTOR 1]

[DIRECTOR 1 ADDRESS 1]

[DIRECTOR 1 ADDRESS 2]

[DIRECTOR 1 CITY], [DIRECTOR 1 STATE] [DIRECTOR 1 ZIP]

Director:

[DIRECTOR 2]

[DIRECTOR 2 ADDRESS 1]

[DIRECTOR 2 ADDRESS 2]

[DIRECTOR 2 CITY], [DIRECTOR 2 STATE] [DIRECTOR 2 ZIP]

Director:

[DIRECTOR 3]

[DIRECTOR 3 ADDRESS 1]

[DIRECTOR 3 ADDRESS 2]

[DIRECTOR 3 CITY], [DIRECTOR 3 STATE] [DIRECTOR 3 ZIP]

PandaTip:  Identify at least a President, Secretary, and Treasurer, even if you have other officers.  This form also adds spaces for up to three directors.  Confirm with your Secretary of State’s office what you need to disclose in your annual report.

I hereby certify under penalty of perjury of the laws of this state that the information listed above is true and correct to the best of my knowledge, and that I am an officer or director of this corporation with authority to sign and submit this report.

PandaTip:  There are penalties that may attach to failure to provide accurate information, so just make sure it is correct before signing and submitting it.

[SIGN DATE]                                        ______________________________

                                                                       [PERSON SUBMITTING REPORT]

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