Item 9 OR 10a OR 10b, whichever is applicable, MUST be completed.)
9. Amounts stated in parts (a) through (d) below are given for the 12-month period
ending ________________________________________ , ________________.
Day Month Year
Value of property (gross assets):
(a) owned by the corporation, wherever located: ............................................................. (a) $______________________
(b) of the corporation located within the State of Illinois:.................................................. (b) $______________________
Gross amount of business transacted by the corporation:
(c) everywhere for the above period: ............................................................................... (c) $______________________
(d) at or from places of business in Illinois for the above period: ..................................... (d) $______________________
ALLOCATION FACTOR = b + d = ____________________ Enter this figure on line 11b below.
a + c
= 6 decimal places
10a.
n
ALL property of the Corporation is located in Illinois and ALL business of the Corporation is transacted at or from places of busi-
ness in Illinois.
10b.
n
The Corporation elects to pay franchise tax on the basis of 100% of its total Paid-in Capital.
ALLOCATION FACTOR = 1.00000
(Enter this figure on line 11b below.)
STOP: Item 9 or 10 must be completed before continuing to Item 11.
11. ANNUAL FRANCHISE TAX AND FEES
11a. TOTAL PAID-IN CAPITAL (Enter amount from Item 7a;
if late, enter the greater of 7a or 7b.) .....................................................................
_________________________
11b. ALLOCATION FACTOR (Enter from Item 9 or Item 10.)........................................
_________________________
11c. ILLINOIS CAPITAL (Multiply line 11a by line 11b.).................................................________________________
11d1. Multiply line 11c by .001 (Round to nearest cent.) .................................................
11d2. ANNUAL FRANCHISE TAX (Enter amount from line d1, but not less than $25)...................................................
d2.
11e1. If Annual Report is late, multiply line d2 by .10 ......................................................________________________
11e2. If Annual Franchise Tax is late, multiply line d2 by .02 for each month
late or part thereof (minimum $1)...........................................................................________________________
11e3. INTEREST & PENALTIES (Add lines e1 and e2.).................................................................................................
e3
.
11f. ANNUAL REPORT FILING FEE ($75) ..................................................................................................................
11f.
11g.
TOTAL ANNUAL FRANCHISE TAX, FEES, INTEREST, PENALTIES DUE
(Add line d2 + line e3 + line f.) ...............................................................................................................................
11g.
MAKE CHECKS PAYABLE TO ILLINOIS SECRETARY OF STATE.
(Place corporate file number on check.)
IMPORTANT:
If there have been changes in Items 6 or 7, Form BCA 14.30 must be executed
and submitted with this Annual Report in the same envelope.
.
+ 75.00
a.
b.
c.
d1
e1.
e2.