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Statement Of Cancellation Of Redeemable Shares (Domestic Corp) 103 - Rhode Island

Statement Of Cancellation Of Redeemable Shares (Domestic Corp) Form. This is a Rhode Island form and can be used in Business Corporation Secretary Of State .
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Filing Fee: $10.00 ID Number: ____________ STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS Office of the Secretary of State Corporations Division 100 North Main Street Providence, Rhode Island 02903-1335 BUSINESS CORPORATION ____________ STATEMENT OF CANCELLATION OF REDEEMABLE SHARES (To Be Filed In Duplicate Original) Pursuant to the provisions of Section 7-1.1-61 of the General Laws, 1956, as amended, the undersigned corporation submits the following statement of cancellation by redemption or purchase of redeemable shares of the corporation: 1. The name of the corporation is 2. The number of redeemable shares of the corporation cancelled through redemption or purchase is , itemized as follows: Class Series Number of Shares 3. The aggregate number of issued shares of the corporation after giving effect to such cancellation is , itemized as follows: Class Series Number of Shares 4. If the articles of incorporation provide that the cancelled shares shall not be reissued, the number of shares the corporation has authority to issue after giving effect to such cancellation is , itemized as follows: (If not applicable, so state.) Class Series Number of Shares Form No. 103 Revised: 01/99 <<<<<<<<<********>>>>>>>>>>>>> 25. As required by Section 7-1.1-61 of the General Laws, the corporation has paid all fees and franchise taxes. Date: Print Corporate Name By President or Vice President (check one) AND By Secretary or Assistant Secretary (check one)STATE OF COUNTY OF In , on this day of , , personally appearedbefore me who, being by me first duly sworn, declared that he/sheis the of the corporation and that he/she signed the foregoing document assuch officer of the corporation, and that the statements herein contained are true. Notary Public My Commission Expires: <<<<<<<<<********>>>>>>>>>>>>> 3 STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS Office of the Secretary of State Corporations Division 100 North Main Street Providence, Rhode Island 02903-1335 (401) 222-3040 INSTRUCTIONS FOR FILING STATEMENT OF CANCELLATION OF REDEEMABLE SHARES Section 7-1.1-61 of the General Laws of Rhode Island, 1956, as amended1. When redeemable shares of a corporation are redeemed or purchased by the corporation, the redemption or purchase shall effect a cancellation of the shares, and a Statement of Cancellation of Redeemable Shares (Form No. 103) shall be filed, in duplicate original, with the Office of the Secretary of State, Corporations Division, at the above address. When the Statements are properly completed, signed and submitted with the correct filing fee, the file stamped duplicate original Statement of Cancellation of Redeemable Shares, shall be returned to the filer. 2. Upon the filing of the Statement of Cancellation of Redeemable Shares, the shares shall be restored to the status of authorized but unissued shares, unless the articles of incorporation provide that the shares, when redeemed or purchased, shall not be reissued, in which case the filing of the Statement of Cancellation shall constitute an amendment to the articles of incorporation and shall reduce the number of shares of the class so canceled which the corporation is authorized to issue by the number of shares so canceled. 3. The Statement must be accompanied by a filing fee of $10.00, and payment should be made payable to the Rhode Island Secretary of State. 4. Upon the filing of the Statement, the corporation must be in good standing and current with the filing of its annual reports and the maintenance of its registered agent and its registered office in this state. 5. As required by Section 7-1.1-61 of the General Laws, all fees and franchise taxes of the corporation must be paid upon the filing of the Statement of Cancellation of Redeemable Shares. 6. The Statement must be signed, in duplicate original, by the corporations president or vice president and secretary or assistant secretary. A signature must appear on each line even if the same person holds both offices. The signature of one officer only must be notarized. Facsimile signatures will not be accepted. If you have any questions, please call us at (401) 222-3040, Monday through Friday, between 8:30 a.m. and 4:30 p.m.Instructions/Form 103 Revised: 01/99
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