Free Statement of Election to Establish an Extended Filing Month - Illinois


File Size: 154.4 kB
Pages: 4
Date: November 19, 2003
File Format: PDF
State: Illinois
Category: Corporations
Author: Department of Business Services
Word Count: 992 Words, 7,519 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.cyberdriveillinois.com/publications/pdf_publications/bca1401.pdf

Download Statement of Election to Establish an Extended Filing Month ( 154.4 kB)


Preview Statement of Election to Establish an Extended Filing Month
Form

BCA-14.01

(Rev. Dec. 2003)

Jesse White Secretary of State Department of Business Services Springfield, IL 62756 Telephone (217) 782-6961 http://www.cyberdriveillinois.com Remit payment in check or money order, payable to "Secretary of State."

STATEMENT OF ELECTION TO ESTABLISH AN EXTENDED FILING MONTH

Print
File #
This space for use by Secretary of State

Reset

Date Filing Fee Approved: $ 25

1. 2. 3. 4. 5. 6.

CORPORATE NAME: _________________________________________________________________ State or Country of Incorporation: ________________________________________________________ Date Incorporated/Qualified: ____________________________________________________________

Date of fiscal year end immediately preceding this election: ____________________________________ Extended filing month (See Note 2.): ______________________________________________________ This Statement of Election is accompanied by an Interim Annual Report, which shall set forth, as of the date of filing of the statement, all of the information required pursuant to Section 14.05 of the Business Corporation Act to be included in the annual report, except that the information required by subparagraph (h) of Section 14.05 shall be the amounts represented in this state as disclosed by the preceding annual report, or, if no annual report is on file, from information contained in the articles of incorporation of a domestic corporation or the application for authority in the case of a foreign corporation. The undersigned corporation has caused this statement to be signed by a duly authorized officer who affirms, under penalties of perjury, that the facts stated herein are true. ___________________________________________
(Exact Name of Corporation)

7.

Dated _________________________ , __________
(Month & Day) (Year)

by

______________________________________
(Any authorized Officer's signature)

______________________________________
(Type or Print Name and Title)

IMPORTANT! FOR A CORPORATION SEEKING TO ESTABLISH AN EXTENDED FILING MONTH, SECTION 14.01 OF THE BUSINESS CORPORATION ACT REQUIRES THIS DOCUMENT BE FILED PRIOR TO THE FIRST DAY OF THE CORPORATION'S ANNIVERSARY MONTH.

C-242.5

NOTES Note 1: Each domestic corporation and each foreign corporation authorized to transact business in this state, having reported on its last annual report or if no annual report is on file, on the articles of incorporation of a domestic corporation or on the application for authority of a foreign corporation, an amount less than 100 percent of its paidin capital represented in Illinois, may make an irrevocable, one time election to establish an extended filing month for the purpose of filing annual reports for all subsequent taxable years.

Note 2: The extended filing month may be any month in that is one of the nine months consecutively following the end of the corporation's fiscal year, except that the extended filing month may not be one of the two months immediately preceding the corporation's anniversary month. Notwithstanding the foregoing, a corporation whose fiscal year ends within the two months immediately preceding its anniversary month may not elect an extended filing month.

Note 3: When filing an Interim Annual Report DO NOT complete items 9 or 10. In calculating the interim annual franchise tax, the corporation must use the factor established from its last annual report or, if no annual report is on file, on the articles of incorporation of a domestic corporation or on the application for authority of a foreign corporation. This factor appears beneath the checklist on the preprinted annual report recently mailed to the corporation.

Form BCA 14.05-I

STATE OF ILLINOIS

YEAR OF _______

File # DOMESTIC/FOREIGN CORPORATION INTERIM ANNUAL REPORT
Please Type or Print Clearly in Black Ink

1.

CORPORATE NAME REGISTERED AGENT REGISTERED OFFICE CITY, IL, ZIP CODE (a) Date of Incorporated/Qualified: ___________ (b) State or Country of Incorporation: _________

2.

3.

(a) Give complete address of principal office, if other than above. ____________________________________ ____________________________________

3. 4.

(b) FEIN No.: ____________________________ Names and addresses of the officers and directors (If officers are directors, so state.): Name Number & Street City State President Secretary Treasurer Director Director Director ZIP

5. 6.

Type of business actually conducted in Illinois: _______________________________________________ Authorized and issued shares as of ____________________ : Class Series Par Value
(Date)

Number Authorized

Number issued

7.

(a) Paid-in capital as of ___________________ :
(Date)

(b) Paid-in Capital as of____________________ ,
(Date)

PAID-IN CAPITAL $

_______________

("Paid-in Capital" replaces the terms "Stated Capital" and "Paid-in Surplus." It does not include Retained Earnings.)

on record with the Secretary of State: TOTAL $ _____________________________

(x)

Previous Allocation Factor:_______________ ITEM 8 MUST BE SIGNED

8.

By

________________________________________________________________________________
(Authorized Officers's Signature) (Title) (Date)

Under penalty of perjury and as an authorized officer, I declare that this annual report and, if applicable, the statement of change of registered agent and/ or office, pursuant to provisions of the Business Corporation Act, has been examined by me and is, to the best of my knowledge and belief, true, correct, and complete.

9. Omitted 10. Omitted 11. INTERIM ANNUAL FRANCHISE TAX AND FEES
(a.) Total Paid-in Capital (Enter the GREATER of item 7a or item 7b from other side of this annual report form).................................... (b.) ALLOCATION FACTOR (Enter from item 7x from other side of this annual report) ..................................................................... (c.) ILLINOIS CAPITAL (Multiply line (a) by line (b).).......................... a b c

(d1.) Illinois Capital (Enter from line (c).)............................................... d1 (d2.) Multiply line (d1) by .001 (Round to nearest cent.) ....................... d2 (d3.) ANNUAL FRANCHISE TAX (Enter amount from line (d2), but not less than $25.) ........... (e.) If Interim Annual Report is late, multiply line (d3) by .10 (Penalty) ..................................... (f.) If Interim Annual Franchise Tax is late, multiply line (e3) by .01 for each month or part thereof late (minimum $1.00) (Interest) ................................................................... (g.) ANNUAL REPORT FILING FEE ($75) .............................................................................. (h.) TOTAL ANNUAL FRANCHISE TAX, FEES & PENALTIES DUE (Add line d3 + line e + line f + line g.) ................................................................................. d3 e f g h +75.00

12.

Section 14.01 of the Business Corporation Act requires that this document must be submitted with the Statement of Election to Establish an Extended Filing Month and the required $25 filling fee.

ITEM 8 MUST BE SIGNED

REMIT CHECK OR MONEY ORDER, PAYABLE TO "SECRETARY OF STATE," IN THE TOTAL AMOUNT DUE LISTED ON LINE 11h. THIS FEE MUST BE SUBMITTED WITH THIS ANNUAL REPORT FORM! IF THE PROPER REMITTANCE IS NOT ENCLOSED, THIS REPORT WILL NOT BE ACCEPTED FOR FILING, AND A LATE PENALTY MAY BE ASSESSED.

Your cancelled check is your receipt.

IMPORTANT! THIS FORM MAY ONLY BE USED IN CONNECTION WITH FORM BCA-14.01 AND MAY NOT BE SUBMITTED INDEPENDENTLY.