Form Bca-14.30 - Cumulative Report Of Changes In Issued Shares And Paid-In Capital - Secretary Of State - 2003
Download a blank fillable Form Bca-14.30 - Cumulative Report Of Changes In Issued Shares And Paid-In Capital - Secretary Of State - 2003 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Bca-14.30 - Cumulative Report Of Changes In Issued Shares And Paid-In Capital - Secretary Of State - 2003 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Print
Reset
File #:
Form BCA-14.30
DO NOT SEND CASH
(Rev. Jan. 2003)
Cumulative Report of changes in
This space for use by Secretary of State
Date:
Issued Shares and Paid-In Capital
Secretary of State
License Fee:
$
Department of Business Services
Franchise Tax:
$
Springfield, IL 62756
Filing Fee:
$ 5
(Please type or print legibly in BLACK INK)
Penalty:
$
217-782-6961
Interest:
$
Approved:
1. Corporate Name: ________________________________________________________________________________
2. State or Country of Incorporation: ___________________________________________________________________
3. Authorized and Issued Shares as last reported (In any document other than an annual report.):
Class
Series
Par Value
Number Authorized
Number Issued
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
4. Paid-in Capital as last reported (In any document other than an annual report.): $ _____________________________
5. Current Reporting Period Transactions (See Note 1 on back.):
• List the total issuances and exchanges of shares by class not previously reported to the Secretary of State. Also, give
the value of the entire consideration received (less expenses paid or incurred n connection with such issuances) and
added or transferred to paid-in capital for or on account of such shares.
• List the total amount added or transferred to paid-in capital without the issuance of shares (contributions).
• List the total of all cancellations of shares by class not previously reported to the Secretary of State and the cost to
paid-in capital for acquiring such shares.
• List the total amount subtracted from paid-in capital without a cancellation of shares, but as permitted by Section 9.20
of the Illinois Business Corporation Act (reductions).
Class of
Number of
Consideration
Shares
Series
Par Value
Shares
Received/Cost
_________________________________________________________________________________________________
Issuance or
$
Contributions:
$
$
$
Cancellations
or Reductions:
$ (
)
(State reason for reduction if no shares were cancelled. See Note 6.)
$ (
)
$ (
)
Cumulative Change (Enter on line (6a) below. See Note 2.):
$
6. Franchise Tax and Fees (No additional franchise tax is due when cumulative change is negative amount:
a. Cumulative Change ......................................................................
a.
b. Applicable Allocation Factor (See Note 3.) ...................................
b.
c. Taxable Illinois Capital (Multiply line a by line b.) .........................
c.
d. Multiply line c by .0015 (Round to nearst cent.) ...........................
d.
e. Additional Franchise Tax (Enter amount from line d.) .........................................................
e.
f. If Cumulative Report is late, multiply line e by .10 (penalty) ...............................................
f.
g. If Additional Franchise Tax is late, multiply line e by .01 for each month late
or part thereof (interest) (minimum $1)................................................................................
g.
h. FILING FEE ($5) ...........................................................................................
h.
5.00
i. Total Amount due (Add line e + line f + line g + line h.) ......................................................
i.
COMPLETE BOTH SIDES OF THIS REPORT.
Printed by authority of the State of Illinois. May 2006 - 7.5M - C 284.11
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form 8806 - Information Return For Acquisition Of Control Or Substantial Change In Capital Structure - 2003
Financial
Form Bca 2.10 (2a) - Articles Of Incorporation - Secretary Of State - Department Of Business Services
Legal
Form 3360b - Banking Corporation Tax Report Of Change In Tax Base Made By Internal Revenue Service And/or New York State Department Of Taxation And Finance - 2007
Financial
Related Categories
Parent category: Legal