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Profit Corporation Annual Report 630 - Rhode Island
| Profit Corporation Annual Report Form. This is a Rhode Island form and can be used in Business Corporation Secretary Of State . |
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Matthew A. Brown, Secretary of State Corporations Division STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS 100 North Main Street, Providence, RI 02903-1335 Office of the Secretary of State 401.222.3040PROFIT CORPORATION ANNUAL REPORT FOR THE YEAR Filing Period: January 1 - March 1 Filing Fee: $50.00 (FORM MUST BE TYPED IN BLACK) 1. Corporate ID No. 2. Name of Corporation 3. Street Address Principal Business Office City State Zip 4. Business Phone No. 5. State of Incorporation 6. SIC Code 7. Brief Description of the Character of Business Conducted in Rhode Island 8. NAMES AND ADDRESSES OF THE OFFICERS (X BOX FOR ATTACHMENT) FILL IN SPACES BEFORE USING ATTACHMENTS President Name ????????????????????????????? Vice President Name Street Address Street Address City State Zip City State Zip ???????????????Secretary Name ??????????????????????????????????????????????????????????Treasurer Name Street Address Street Address City State Zip City State Zip 9. NAMES AND ADDRESSES OF THE DIRECTORS (X BOX FOR ATTACHMENT) FILL IN SPACES BEFORE USING ATTACHMENTS Director Name Director Name Street Address Street Address City State Zip City State Zip ??????????????? ??????????????????????????????????????????????????????????????????? Director Name Director Name Street Address Street Address City State Zip City State Zip 10. SHARES AUTHORIZED (X BOX FOR ATTACHMENT) 11. SHARES ISSUED (X BOX FOR ATTACHMENT) AUTHORIZED SHARES ISSUED SHARES Number of Shares Class/Series Par Value Number of Shares Class/Series Par ValueThis report must be signed in ink by either the President, Vice President, Secretary, Assistant Secretary, Treasurer, Receiver or Trustee Under penalty of perjury, I declare and affirm that I have examined this report, including any accompanying schedules and statements, and that all statements contained herein are true and correct. File Date Signature of Officer Date Check No. By: Print or Type Name of Officer FOR SECRETARY OF STATE USE ONLY Title of Officer Form 630 12/01<<<<<<<<<********>>>>>>>>>>>>> 2 Principal Business or Professional Activity Codes (Caution: Some codes are new or have been revised. Check your code carefully.) Agricultural Services, Real Estate 7708 Surveying services 3081 Eating places. fast food 8730 Teaching or tutoring 3079 Full service restaurantsForestry, Fishing 5538 Operators & lessors of 7880 Other business services buildings. including residential 3210 Grocery stores (general line)Code 6882 Other personal services 3251 Liquor stores1990 Animal services, other than 5553 Operators & lessors of other Hotels & Other Lodging Places 3236 Specialized food stores (meat. real property 7237 Camps & camping parks breeding 5520 Real estate agents & brokers 7096 Hotels motels & tourist homes produce, candy, health food, etc.)1933 Crop services Furniture & General Merchandise 5579 Real estate properly managers 7211 Rooming & boarding houses 2113 Farm labor & management 5710 Subdividers & developers, Laundry & Cleaning Services 3988 Computer & software stores services 3970 Furniture stores except cemeteries 7450 Carpet & upholstery cleaning 2238 Forestry. except logging 6155 Title abstract offices 7419 Coin-operated laundries & 4317 Home furnishings stores2212 Horticulture. gardening. & dry cleaning (china, floor coverings, drapes) landscaping Services: Personal, 7435 Full-service laundry, dry 4119 Household appliance stores2469 Hunting & trapping Professional & Business cleaning & garment service 4333 Music & record stores1974 Livestock breeding Services 7476 Janitorial & related services 3996 TV, audio & electronic stores (building, house & window 0836 Logging 3715 Variety stores1958 Veterinary services, including petsAmusement & Recreational cleaning) 3731 Other general merchandise stores Medical & Health Services Services 9274 Chiropractors Miscellaneous Retail StoresConstruction 4812 Boat dealers 9670 Bowling centers 9233 Dentists office or clinic 9688 Motion picture & tape 9217 Doctors (M D.) office or clinic5017 Book stores, excluding0018 Operative builders (for own 9456 Medical & dental laboratories newsstands distribution & allied services account) 9597 Motion picture & video 9472 Nursing & personal care 4853 Camera & photo supply storesBuilding Trades, Including Repairs facilities 3277 Drug stores production 0414 Carpentering & flooring 9290 Optometrists 5058 Fabric & needlework stores 9639 Motion picture theaters 9258 Osteopathic physicians & 4655 Florists0455 Concrete work 8557 Physical fitness facilities surgeons 5090 Fuel dealers (except gasoline)0273 Electrical work 9696 Professional sports & racing, 9241 Podiatrists 4630 Gift, novelty & souvenir shops0299 Masonry, dry wall, stone & tile including promoters & 9415 Registered & practical nurses 4838 Hobby, toy & game shops0257 Painting & paper hanging managers 9431 Offices & clinics of other 4671 Jewelry stores0232 Plumbing, heating & health practitioners 9811 Theatrical performers, (dieticians, midwives, 4895 Luggage & leather goods stores air conditioning musicians, agents, 5074 Mobile home dealers0430 Rooting, siding & sheet metal producers & related services speech pathologists, etc.) 4879 Optical goods stores 9886 Other health services 0885 Other building trade contractors9613 Video tape rental 4697 Sporting goods & bicycle shops Miscellaneous Repair, 5033 Stationery stores (excavation, glazing, etc.) 9837 Other amusement & Except Computers General Contractors recreational services 4614 Used merchandise & antique stores 9019 Audio equipment & TV repair (except motor vehicle parts)0075 Highway & street constructionAutomotive Services 9035 Electric & electronic 5884 Other retail stores0059 Nonresidential building 8813 Automotive rental or leasing, equipment repair, except 0034 Residential building without driver Trade, Wholesale-Selling audio & TV 3889 Other heavy construction (pipe8953 Automotive repairs, general & Goods to Other 9050 Furniture repair & reupholstery laying, bridge construction, etc.) specialized 2881 Other equipment repair Businesses, etc. 8839 Parking, except valet Finance, Insurance & 8896 Other automotive services Durable Goods Including (wash, towing, etc.) Trade, Retail-Selling Related Services Machinery Equipment, Wood, Goods to Individuals & Metals, etc. Business & Personal Services 6064 Brokers & dealers of securities7658 Accounting & bookkeeping Households 2634 Agent or broker for other firms-more than 50% of6080 Commodity contracts brokers 7716 Advertising, except direct mail
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