Fillable Form Rea-1 - Cooperative Electric Association printable pdf download

Form Rea-1 - Cooperative Electric Association

Download a blank fillable Form Rea-1 - Cooperative Electric Association 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 Rea-1 - Cooperative Electric Association 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.

REA-1

Cooperative Electric Association

Annual Report of Membership for Calendar Year Ending Dec . 31,

(enter the year)

Due March 1 following each calendar year.

Name of cooperative

FEIN

Address

Minnesota tax ID number

Location

City

State

Zip code

Membership Data (as of Dec. 31 of the reported year)

Number of

County

Members

County

Members

Subtotal . .

1 Total number of members (enter sum from above) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2 Tax (divide line 1 by 100 and round up to the next whole number) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Multiply line 2 by $10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

4 Penalty and interest (if the tax is not fully paid by March 1, see instructions) . . . . . . . . . . . . . . . . . . . . . . 4

5 Total due (add line 3 and line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Certification. I hereby certify that this report has been examined by me and is true to the best of my knowledge and belief.

Authorized signature

Print name

Title

Date

Phone number

Mail to: Minnesota Revenue, Mail Station 3331, St . Paul, MN 55146-3331 .

Phone: 651-556-3060 (TTY: Call 711 for Minnesota Relay)

(Rev . 1/12)