USVI Public Records

Document text

THE UNITED STATES VIRGIN ISLANDS OFFICE OF THE LIEUTENANT GOVERNOR DIVISION OF CORPORATIONS AND TRADEMARKS FRANCHISE TAX REPORT – FOREIGN CORPORATION CORPORATE FILINGS AND REQUISITE TAXES ARE DUE, EACH YEAR, ON OR BEFORE JUNE 30th. AVOID PENALTIES AND INTEREST BY PAYING ON TIME. TODAY’S DATE TAX CLOSING DATE EMPLOYER IDENTIFICATION NO. (EIN) SECTION 1 CORPORATION NAME __________________________________________________________________________________________________________ ADDRESS OF MAIN OFFICE __________________________________________________________________________________________________________ ADDRESS OF PRINCIPLE VI OFFICE __________________________________________________________________________________________________________ DATE OF INCORPORATION __________________________________________________________________________________________________________ COUNTRY/STATE OF INCORPORATION __________________________________________________________________________________________________________ SECTION 2 CAPITAL STOCK AUTHORIZED ON LAST FILED REPORT __________________________________ CAPITAL STOCK AUTHORIZED ON THIS DATE __________________________________ SECTION 3 - PAID-IN CAPITAL STOCK USED IN CONDUCTING BUSINESS A. AS SHOWN ON LAST FILED REPORT ___________________________________ B. ADDITIONAL CAPITAL PAID SINCE LAST REPORT ___________________________________ C. SUM OF ‘A’ AND ‘B’ ABOVE ___________________________________ D. PAID-IN CAPITAL WITHDRAWN SINCE LAST REPORT ___________________________________ E. PAID-IN CAPITAL STOCK AT DATE OF THIS REPORT ___________________________________ F. HIGHEST TOTAL PAID-IN CAPITAL STOCK DURING REPORTING PERIOD ___________________________________ SECTION 4 – PROPORTION OF CAPITAL STOCK USED IN CONDUCTING BUSINESS IN THE UNITED STATES VIRGIN ISLANDS The following items report figures for fiscal year ended _______________________ For the first report, the reporting Corporation may chose to use (a) the date of the latest Corporate Balance Sheet or (b) the close of the latest fiscal year of the Corporation. Subsequent Annual Reports must use the same date as shown on the first report. A. TOTAL GROSS ASSETS OF THE CORPORATION ____________________________________ B. TOTAL GROSS ASSETS OF THE CORPORATION USED IN CONDUCTING BUSINESS IN THE USVI ____________________________________ C. PROPORTION OF GROSS ASSETS USED IN THE USVI TO TOTAL GROSS ASSETS OF THE CORPORATION ____________________________________ D. CAPITAL STOCK USED IN CONDUCING BUSINES IN THE USVI (the percentage in 4(c) above applied to 3(f) above) ____________________________________ SECTION 5 - COMPUTATION OF TAX A. AT RATE OF $1.50 PER THOUSAND (PLEASE ROUND DOWN TO THE NEAREST THOUSAND) ON HIGHEST TOTAL PAID-IN CAPITAL STOCK AS REPORTED ON LINE 3F ABOVE ____________________________________ B. TAX DUE (4A OR $150.00 (WHICHEVER IS GREATER)) ____________________________________ SECTION 6 – PENALTY AND INTEREST FOR LATE PAYMENT A. PENALTY – 20% OR $50.00 (WHICHEVER IS GREATER) OF 5B FOR FAILURE TO PAY BY JUNE 30th ____________________________________ B. INTEREST – 1% COMPOUNDED ANNUALLY FOR EACH MONTH, OR PART THEREOF, BY WHICH PAYMENT IS DELAYED BEYOND THE JUNE 30th DEADLINE ____________________________________ C. TOTAL PENALTY AND INTEREST _____________________________________ SECTION 7 – TOTAL DUE AND FORWARDED HEREWITH SUM OF 5B AND 6C _____________________________________ I DECLARE, UNDER PENALTY OF PERJURY, UNDER THE LAWS OF THE UNITED STATES VIRGIN ISLANDS, THAT ALL STATEMENTS CONTAINED IN THIS APPLICATION, AND ANY ACCOMPANYING DOCUMENTS, ARE TRUE AND CORRECT, WITH FULL KNOWLEDGE THAT ALL STATEMENTS MADE IN THIS APPLICATION ARE SUBJECT TO INVESTIGATION AND THAT ANY FALSE OR DISHONEST ANSWER TO ANY QUESTION MAY BE GROUNDS FOR DENIAL OR SUBSEQUENT REVOCATION OF REGISTRATION. TREASURER PRESIDENT ________________________________________________________________________________ ______________________________________________________________________________ SIGNATURE DATE SIGNATURE DATE ________________________________________________________________________________ ______________________________________________________________________________ PRINTED FIRST NAME AND LAST NAME PRINTED FIRST NAME AND LAST NAME 5049 Kongens Gade Charlotte Amalie, Virgin Islands 00802 Phone - 340.776.8515 Fax - 340.776.4612 1105 King Street Christiansted, Virgin Islands 00820 Phone - 340.773.6449 Fax - 340.773.0330