DSCB:54-503–Instructions
Pennsylvania Department of State
Bureau of Corporations and Charitable Organizations
P.O. Box 8722
Harrisburg, PA 17105-8722
(717) 787-1057
Web site: www.dos.pa.gov/corps
General Information
Typewritten is preferred. If handwritten, the form must be
legible and completed in black or blue-black ink in order to
permit reproduction.
The nonrefundable filing fee for this form is $70. Checks
should be made payable to the PA Department of State.
Checks must contain a commercially pre-printed name and
address.
This form and payment should be mailed to the address stated
above.
Who should file this form?
All domestic and foreign business corporations, non-profit
corporations, limited liability companies, limited partnerships,
limited liability partnerships that are not also limited
partnerships, business trusts, as well as insignias and marks
used with articles and supplies that have not made a new or
amended filing with the Bureau of Corporations and
Charitable Organizations (Bureau) from January 1, 2012
through December 31, 2021, must file a report that they
continue to exist. This report must be filed with the Bureau
during the calendar year 2021. Fictitious names are not
required to make decennial filings.
No decennial filing is required if the association has made any
filing in the Department from January 1, 2012 through
December 31, 2021, other than a decennial report, application
for registration of fictitious name, consent to appropriation of
name, name searches or name reservations. Additionally, no
filing of this form is required for a business corporation if the
corporation has had officer information forwarded to the
department by the Department of Revenue from January 1,
2012 through December 31, 2021, under 15 Pa.C.S. § 1110
(relating to annual report information).
What happens if a decennial report is not filed?
If an association for which a decennial report is required does
not make the decennial filing during the calendar year 2021, it
will lose the exclusive right to its name beginning January 1,
2022. The non-filing association continues to exist, but its
name becomes available for use by any other business
registering in Pennsylvania.
Applicable Law
See 54 Pa.C.S. § 503(b), § 1314(b) and § 1515(b) for general
information on decennial filings. Statutes are available on the
Pennsylvania General Assembly website,
www.legis.state.pa.us
, by following the link for Statutes.
Attachments
Only the filing fee shall accompany this form.
Form Instructions
Enter the name and mailing address to which any
correspondence regarding this filing should be sent. This field
must be completed for the Bureau to return the filing. If the
filing is to be returned by email, an email address must be
provided. An email will be sent to address provided,
containing a link and instructions on how a copy of the filed
document or correspondence may be downloaded. Any email
or mailing addresses provided on this form will become part
of the filed document and therefore public record.
1. Give the exact name of the association as identified in the
records of the Department of State. If the name has been
changed, an Amendment form must be filed separately to
effect this change on the Department’s records. This field is
required.
2. Address. Enter the registered office as presently identified
in the records of the Department of State. This address must
be in Pennsylvania. Give one of the following: the registered
office address in the Commonwealth in (a) or the name of a
Commercial Registered Office Provider in (b) and the county
of venue. If either address has been changed and differs from
what is presently on the Department’s records, the new
registered office address or Commercial Registered Office
Provider and county of venue should be identified in Field 3.
This field is required.
3. Change of Address. If the address in Field 2 has been
changed and the association’s address differs from what is
presently on the Department’s records, the new registered
office address or Commercial Registered Office Provider and
county of venue should be identified. Under 15 Pa.C.S. §
135(c) (relating to addresses), an actual street or rural route
box number must be used as an address, and the Department
of State is required to refuse to receive or file any document
that sets forth only a post office box address.
4. Mandatory statement. This field is required.
5. Mandatory statement. This field is required.
Signature and Verification
The Decennial Report must be signed by an authorized
representative of the association. Signing a document
delivered to the Department for filing is an affirmation under
the penalties provided in 18 Pa.C.S. § 4904 (relating to
unsworn falsification to authorities) that the facts stated in the
document are true in all material respects. This field is
required.
