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Annual Or Supplemental Report (Nonprofit) NONPRO - New Mexico

Annual Or Supplemental Report (Nonprofit) Form. This is a New Mexico form and can be used in Corporation Corporation Bureau Public Regulation Commission .
 Fillable pdf Last Modified 12/17/2013
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RETURN TO: SECRETARY OF STATE CORPORATIONS BUREAU 325 DON GASPAR, SUITE 300 SANTA FE NM 87501 DOMESTIC NONPROFIT CORPORATION ANNUAL REPORT_________ For taxable year ending ____/____/_____ SUPPLEMENTAL REPORT________( if any information changes) OR See instructions on back of page. 1 Name EXACT CORPORATE NAME Address AND U.S. MAILING City, State, Zip ADDRESS 2 PRINCIPAL PLACE OF BUSINESS IN NEW MEXICO Street City, Zip 4 REGISTERED AGENT AND OFFICE LOCATION WITHIN NEW MEXICO FOR SERVICE OF PROCESS (Filing corporation cannot be its own agent) Name Street Address City, Zip 5 BRIEF STATEMENT OF CHARACTER OF AFFAIRS BEING CONDUCTED 3 NMSOS Certificate of Incorporation Number 6 DIRECTORS AND OFFICERS List the names and addresses of ALL the directors and officers and identify every title each director holds. A New Mexico non-profit corporation shall have not less than 3 directors. (optional) Office/Title Name Address Additional Titles Director Director Director President Vice President Secretary Treasurer Attach schedule of additional directors and officers if needed SIGNATURES Under penalties of perjury, we declare and affirm that we have examined this report, including the accompanying schedules and statements, and that all statements contained therein are true and correct. Date Printed Name Signature Title 7 8 PAYMENT OF FILING FEE AND LATE FILING PENALTY a Report filing fee b Late filing penalty ($10.00) except supplemental IRS or SOS extension, if any, must be submitted with this report c TOTAL AMOUNT DUE with corporate report (lines a + b) PLEASE DO NOT SUBMIT CASH FOR PAYMENT $ 10.00 $ NMSOS USE ONLY Amount Remitted Postmark Date American LegalNet, Inc. www.FormsWorkFlow.com
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