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Please provide the following
Best Email Address
Street Address
City, State, Zip

Introduction

1.
What is the name of the Corporation?

2.
What is the Corporation's best telephone number?

Basic Corporate Information

3.
What is the Corporation's business?

4.
What is the Corporation's state of incorporation?

5.
If different from the street address, what is the Corporation's mailing address?

6.
What is the Corporation's 9-digit federal tax identification number (FEIN)?

7.
What is the Corporation's tax status? The choices are S corporation or C corporation; if not sure, ask your accountant.
S
C

8.
What is the end date of the Corporation's tax (fiscal) year? S corporations generally must use 12/31 as its tax year end date.

9.
Who is the Corporation's accountant (name, & email if available)?

10.
Where is the Corporation's accountant located (city and state)?

11.
Who is President/CEO of the Corporation?

12.
Is the President/CEO the only Shareholder, Director and Officer of the Corporation?
No

13.
Please identify each Shareholder of the Corporation.

14.
Please identify each Director of the Corporation.

15.
Who is Secretary of the Corporation?

16.
Who is Treasurer/CFO of the Corporation?

17.
Who is the Vice President of the Corporation (if any)?

18.
Please name the Corporation's bank.

Corporate Structural Changes
Have any of the following events ever occurred, or are there actions to be taken at this meeting, that have not yet been formally authorized in writing by the Corporation?
19.
Has the Corporation proposed any amendment of its Articles?
Yes
No

20.
Has the Corporation proposed any merger, reorganization or dissolution?
Yes
No

21.
Has the Corporation proposed any change to indemnity provisions for Directors, Officers or agents?
Yes
No

22.
The structural changes in Q.19-21 require specific governmental filings at additional cost. Would you like this office to prepare the required documentation? (If you answer Yes, I will contact you via phone or email to discuss the matter.)
Yes
No

23.
Has the Corporation changed its tax status/election from C to S, or S to C?
Yes

24.
What is the Corporation's new tax status/election?
S
C

25.
Has the Corporation proposed any addition, amendment or repeal of any Bylaws?
Yes

26.
Please provide details: what is the proposed Bylaws change?

27.
Has the Corporation changed its tax (fiscal) year?
Yes

28.
What is/was the last date of the Corporation's first new tax (fiscal) year?

Corporate Governance Changes

29.
Has there been any change in the Directors or Officers of the Corporation?
Yes

30.
Has there been a change in the Corporation's Directors?
Yes

31.
Has the Corporation changed the number of authorized Directors (Bylaws change required)?
Yes, adding to the number
Yes, subtracting from the number

32.
How many Directors are being added or removed?
1
2
3

33.
What Director(s) are being removed?

34.
What Director(s) are being added?

35.
Has there been a change in the Corporation's Officers?
Yes

36.
Have any new Officer positions been added (Bylaws change required)?
Yes

37.
What is the new Officer position?

38.
Who fills the new Officer position?

39.
Who is the new President/CEO? (leave blank if no change.)

40.
Who is the new Secretary? (leave blank if no change.)

41.
Who is the new Treasurer/CFO? (leave blank if no change.)

42.
Who is the new Vice President? (leave blank if no change.)

Corporate Financial Developments

43.
Has the Corporation changed accountants?
Yes

44.
Please identify the new accountant (name, city/state, email if available)?

45.
Has the Corporation added or changed banks?
Yes

46.
Please name the new bank.

47.
Has the Corporation added or removed any person from signatory authority on any of its bank accounts?
Yes

48.
Please provide details: who was removed and/or added to signatory authority.

49.
Has the Corporation paid any S corporation distributions or C corporation dividends?
Yes

50.
Please provide details: to which tax (fiscal) year(s) do the payments apply, and for each year the total amount paid.

51.
Has the Corporation lent out any money?
Yes

52.
Please provide details: the borrower, amount lended, interest rate, payment schedule, when final payment is due, and purpose of the loan. If the borrower a related party to the Corporation (such as a Director, Officer, Shareholder, relative of any of the above, or a company 10% owned by any of the above), also identify the person and the nature of the relationship.

53.
Has the Corporation borrowed any money?
Yes

54.
Please provide details: the lender, amount borrowed, interest rate, payment schedule, when final payment is due, and purpose of the loan. If the lender a related party to the Corporation (such as a Director, Officer, Shareholder, relative of any of the above, or a company 10% owned by any of the above), also identify the person and the nature of the relationship.

Employee Benefit Programs

55.
Has the Corporation added or terminated any employee benefit program (retirement, health, insurance, etc.)?
Yes

56.
Has the Corporation terminated any retirement, health, insurance or other employee benefit program?
Yes

57.
Please identify each employee benefit plan terminated, and first the tax (fiscal) year for which that benefit will be terminated.

58.
Has the Corporation established any pension, profit sharing, IRA, 401(k), or similar retirement plan?
Yes

59.
Please describe each retirement plan(s) established, and the first tax (fiscal) year for which plan contributions may be made.

60.
Has the Corporation established a Health Savings Account (HSA) or Medical Savings Account (MSA)?
Yes

61.
Please describe each health or medical savings account established, and the first tax (fiscal) year for which plan contributions may be made.

62.
 
Has the Corporation established any non-contributory employee benefits, such as medical insurance, key man life or disability insurance, health reimbursement plan, or the like?
Yes

63.
Please describe the employee insurance or other benefit, and the first tax (fiscal) year in which that benefit is available to qualified employees.

64.
Has the Corporation made any contribution to any pension, profit sharing, IRA, 401(k) or similar plan?
Yes

65.
Please identify for each contribution: the plan receiving the contribution, the amount of the contribution made, and the tax (fiscal) year to which each contribution applies.

66.
Has the Corporation made any contribution to any Health Savings Account or Medical Savings Account?
Yes

67.
Please identify for each contribution: the account receiving the contribution, the amount of the contribution made, and the tax (fiscal) year to which each contribution applies.

Corporate Business Developments

68.
Has there been any change in ownership in the Corporation (e.g., stock/bonds bought, sold or redeemed)?
Yes

69.
Has the Corporation issued any new securities (stock, bonds, or other ownership interest)?
Yes

70.
Please provide all details for each sale: what class of equity (common stock, preferred stock, bonds, etc.), how many shares or units, price per unit, date of sale, method of payment (cash, unsecured note, secured note, etc.), and the name of the buyer.

71.
Has the Corporation repurchased or redeemed any of its securities (stock, bonds, or other ownership interest)?
Yes

72.
Please provide all details for each repurchase or redemption: what class of equity (common stock, preferred stock, bonds, etc.), how many shares or units, price per unit, date of repurchase or redemption, method of payment (cash, unsecured note, secured note, etc.), and the name of the seller.

73.
Has the Corporation or Shareholders entered any Buyout Agreement for Shareholder retirement, death, disability, etc.?
Yes
No

74.
Has the Corporation changed its principal place of business?
Yes

75.
What is the new address of the principal place of business?

76.
Has the Corporation entered into any real property leases?
Yes

77.
Please provide details for each property leased: the landlord, tenant, address, lease term (in months or years), type of lease (triple net, modified gross, or gross), and beginning monthly (base) rent, is the landlord (or tenant if not the Corporation) a related party to the Corporation (such as a Director, Officer, Shareholder, relative of any of the above, or a company 10% owned by any of the above), and if so the nature of the relationship.

78.
Has the Corporation entered into any motor vehicle or equipment leases ($1,000 or more)?
Yes

79.
Please provide details for each item leased: make/model/description of the item, lease term (in months or years), amount of down payment (if any), monthly payment, is the lessor a related party to the Corporation (such as a Director, Officer, Shareholder, relative of any of the above, or a company 10% owned by any of the above), and if so the nature of the relationship.

80.
Has the Corporation bought any major assets (value $1,000 or more)?
Yes

81.
Please provide for each asset: what was purchased, the date of purchase, the purchase price, is the seller a related party to the Corporation (such as a Director, Officer, Shareholder, relative of any of the above, or a company 10% owned by any of the above), and if so the nature of the relationship.

82.
Has the Corporation sold any major assets (value $1,000 or more)?
Yes

83.
Please provide for each asset: what was sold, the date of sale, the sale price, is the buyer a related party to the Corporation (such as a Director, Officer, Shareholder, relative of any of the above, or a company 10% owned by any of the above), and if so the nature of the relationship.

84.
 
 
Has there been any other transaction between the Corporation and a related party to the Corporation (such as a Director, Officer, Shareholder, relative of any of the above, or a company 10% owned by any of the above)? If so, please describe the details of the transaction, identify the person and the nature of the relationship. Otherwise, answer NO.

85.
Is there any other development in the Corporation that you believe should be memorialized in the Annual Minutes? If so, please provide the details here. I may contact you to discuss whether, and how, these developments should be included in the Annual Minutes. Otherwise, answer NO.

Holding your Annual Meeting

86.
Where will you hold your annual meeting?
To be determined (Skip to Q 88)
the Corporation's principal place of business (Skip to Q 88)
At a specific known place

87.
Where is the meeting being held (e.g., the Corporation's attorney's office in Santa Barbara, the Stonehouse Restaurant in Montecito)?

88.
 
 
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