N.M. Admin. Code § 12.3.4.14 - SANITARY PROJECTS ACT ASSOCIATION ANNUAL AND SUPPLEMENT REPORT
A sanitary projects act association shall file, together with a filing fee of ten dollars ($10.00), annual and supplemental reports as required by NMSA 1978 Sections 3-29-17.4 and 3-29-17.5 on the following commission-prescribed form available as provided in 12.3.1 NMAC.
| RETURN TO: NM PUBLIC REGULATION COMMISSION CORPORATIONS BUREAU P.O. BOX 1269 SANTA FE NM 87504-1269 | SANITARY PROJECTS ACT ASSOCIATION ANNUAL REPORT____ SUPPLEMENTAL REPORT____ For taxable year ending_____/____/_______ |
Please see instructions on back of page.
| 1 | State or country of incorporation |
| 2 | EXACT ASSOCIATION NAME AND U.S. MAILING ADDRESS | Name |
| Address | ||
| City, State, Zip |
| 3 | REGISTERED AGENT AND OFFICE LOCATION WITHIN NEW MEXICO FOR SERVICE OF PROCESS (Filing corporation cannot be its own agent) | |
| Name | ||
| Street Address | ||
| City, Zip | ||
| 4 | BRIEF STATEMENT OF CHARACTER OF AFFAIRS BEING CONDUCTED |
| 5 | DIRECTORS AND OFFICERS List the names and addresses of ALL the directors and officers and identify every title each director holds. The association's board of directors shall have 5 members. | |||
| Office/Title | Name | Address | (optional) Additional Titles | |
| Director | ||||
| Director | ||||
| President | ||||
| Vice President | ||||
| Secretary-Treasurer | ||||
| Attach schedule of additional directors and officers if needed | ||||
| 6 | SIGNATURES Under penalties of perjury, we declare and affirm that we have examined this report, including the accompanying schedules and statements, and that all statements contained therein are true and correct. | |||
| Date | Printed Name | Signature | Title | |
| 7 | PAYMENT OF FILING FEE AND LATE FILING PENALTY | NMPRC USE ONLY | |||
| a | Report filing fee | $ 10.00 | |||
| b | Late filing penalty ($10.00) IRS or PRC extension, if any, must be submitted with this report | ||||
| Amount Remitted | Postmark Date | ||||
| c | TOTAL AMOUNT DUE with corporate report (lines a + b) | $ | |||
| PLEASE DO NOT SUBMIT CASH FOR PAYMENT | |||||
INSTRUCTIONS
This report is required by, and must comply with the requirements of, NMSA 1978 Sections 3-29-17.4 and 3-29-17.5 and 12.3.4.14 NMAC. At the top right of the form, indicate whether the report is an annual report or a supplemental report. If an annual report, fill in the closing date of the taxable year for the report.
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