Corporate Franchise Tax {FT-11}

CORPORATE FRANCHISE TAXIn order for this corporation to receive its annual corporate franchise tax reporting form,please complete and file with the office of the Secretary of State at the time of incorporationor qualification. Corporate ame Contact erson Street ddress or Post Office Box umber City, State, ZIPTelephone numberE-mail addressNOTE:This tax is due on or before May 1 of the year following incorporation or qualificationin this state.I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of Stateis a Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days.Authorized Officer (Type or Print)Authorized Signature of Incorporator, Officer or Agent for the Corporation FT-11 Rev. 001027021n024030n030007r013027r031n027035025016007031n031r$'#$t 003n026020031025022037004020031031022r006025013021 American LegalNet, Inc. www.FormsWorkFlow.com