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Get TX Comptroller 05-102 2021

RESET FORM 05-102 Rev.9-15/33 PRINT FORM Texas Franchise Tax Public Information Report Tcode 13196 Franchise Professional Associations PA and Financial Institutions Report year Taxpayer number You have certain rights under Chapter 552 and 559 Government Code to review request and correct information Blacken circle if the mailing address has changed. Mailing address City State ZIP code plus 4 FILING REQUIREMENTS 1000000000015 Principal place of business This report must be signed to satisfy franchise tax requirements. SECTION A Name Title Director YES d y m Term expiration ZIP Code 0 percent or more. State of formation Percentage of ownership ore in this entity. see instructions if you need to make changes Agent sheets for Sections A B and C if necessary. The information will be available for public inspection* I declare that the information in this document and any attachments is true and correct to the best of my knowledge and belief as of the date below and that a copy of this report has Date Area code and phone number VE/DE PIR IND -. SECTION A Name Title Director YES d y m Term expiration ZIP Code 0 percent or more. State of formation Percentage of ownership ore in this entity. see instructions if you need to make changes Agent sheets for Sections A B and C if necessary. The information will be available for public inspection* I declare that the information in this document and any attachments is true and correct to the best of my knowledge and belief as of the date below and that a copy of this report has Date Area code and phone number VE/DE PIR IND -.

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