Arizona Administrative Code › Title 14 - PUBLIC SERVICE CORPORATIONS; CORPORATIONS AND ASSOCIATIONS; SECURITIES REGULATION › Chapter 1 - CORPORATION COMMISSION - CORPORATIONS AND ASSOCIATIONS › Article 1 - IN GENERAL › Section R14-1-102 - Annual Reports and Certificates of Disclosure

Current through Register Vol. 30, No. 28, July 12, 2024
A. This rule prescribes, pursuant to A.R.S.
				§ 10-142, the form of the Annual Report and Certificate of Disclosure
				required to be filed with the Commission under A.R.S. §§ 10-125 and
				10-128. This rule does not apply to non-profit corporations.
B. Annual report of domestic and foreign
				corporations
1. Each domestic corporation and
				each foreign corporation authorized to transact business in this state shall
				file with the Commission an annual report setting forth the information
				required by A.R.S. § 10-125.
2. The annual reports of domestic and foreign
				corporations required to be filed under this subsection shall contain the
				following information which shall be set forth on the following form provided
				by the Commission:
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G. STATEMENT OF
				FINANCIAL CONDITION
BALANCE SHEET
YOU MAY SUBSTITUTE FOR THIS BALANCE SHEET AN EXACT COPY OF
				  THE FINANCIAL REPORT TO SHAREHOLDERS AS PROVIDED IN A.R.S. § 10-127, A
				  COPY OF SCHEDULE L, FILED WITH THE INTERNAL REVENUE SERVICE, OR A COPY OF
				  SCHEDULE L, FORM 120 FILED WITH THE ARIZONA DEPARTMENT OF REVENUE FOR THE
				  PURPOSES OF TAXATION OF INCOME PURSUANT TO TITLE 43, ARIZONA REVISED
				  STATUTES.
ASSETS AMOUNT TOTAL
Cash
				  ........................................................................................
				  --------------------
Trade notes and accounts receivable
				  ................................. --------------------
(a) Less allowance for bad debts
				...................................... --------------------
				--------------------
Inventories
				  ...........................................................................
				  --------------------
Gov't obligations:
(a) U.S. and instrumentalities .............
				--------------------
(b) State,
				subdivisions thereof, etc. ...................................
				-------------------- --------------------
Other current assets
				  .............................................................
				  --------------------
Loans to shareholders
				  ..........................................................
				  --------------------
Mortgage and Real Estate loans
				  .......................................... --------------------
Other investments
				  .................................................................
				  --------------------
Buildings and other fixed depreciable asset
				  .................... -------------------- --------------------
(a) Less accumulated depreciation
				.................................... -------------------- --------------------
Depletable assets
				  ..................................................................
				  --------------------
(a)
				Less accumulated depreciation ...................................
				-------------------- --------------------
Land (net of any amortization)
				  ............................................ --------------------
Intangible assets (amortizable only)
				  .................................. --------------------
(a) Less accumulated amortization
				.................................... -------------------- --------------------
Other assets
				  ...........................................................................
				  --------------------
Total assets ........................................
				  --------------------
--------------------
LIABILITIES AND CAPITAL
Accounts payable --------------------
Mtges., notes, bonds payable in less than 1 yr.
				  .............. --------------------
Other current liabilities
				  ..........................................................
				  --------------------
Loans from shareholders
				  ....................................................
				  --------------------
Mtges., notes, bonds payable in 1 yr. or more
				  ................... --------------------
Other liabilities
				  ......................................................................
				  --------------------
Total assets............ --------------------
Capital stock:
(a) Preferred stock ......
				--------------------
(b) Common
				stock....... --------------------
Paid-in-or capital surplus
				  ....................................................
				  --------------------
Retained earnings - Appropriated
				  ....................................... --------------------
Retained earnings - Unappropriated
				  ................................. --------------------
Less cost of treasury stock
				  ................................................ --------------------
Total capital...... --------------------
Total liabilities
and Capital.... --------------------
--------------------
3.
H. SHAREHOLDERS: DIRECTIONS: Fill in names of
				shareholders of record holding more than 20% of any class of shares issued by
				the corporation, including persons beneficially holding such shares through
				nominees. If additional space is needed, attach a separate sheet.
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Shareholder
Name
Shareholder
Name
Shareholder
Name
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Shareholder
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Name
Shareholder
Name
Shareholder
Name
I.
				ALL CORPORATE TAX RETURNS REQUIRED BY TITLE 43 HAVE BEEN FILED WITH THE ARIZONA
				DEPARTMENT OF REVENUE.
Under penalties of law, I declare that I have examined this
				  report, including any attachments, and to the best of my knowledge and belief
				  it is true, correct and complete. (MUST BE SIGNED BY PRESIDENT, VICE PRESIDENT,
				  SECRETARY, ASSISTANT SECRETARY OR TREASURER.)
BY: X BY: X
TITLE: TITLE:
(Date of Signing)
NOTE:
If you are unable to file this Annual Report on or before the
				  date which appears on page 1 of this report, you may, but only on or before
				  that date, file a written request to the Incorporating Division, Annual Report
				  Section for an extension of time, not to exceed 60 days, in which to file this
				  report. The request for an extension of time MUST be accompanied by the annual
				  fee which also appears in part A on page 1 of this report. Only after filing
				  that request and paying the annual fee can the Commission grant this request
				  for extension.
3.
				Each domestic and foreign corporation required to file the annual report on the
				form prescribed in this subsection may substitute for Part G of the form an
				exact copy of the financial report to shareholders as provided in A.R.S. §
				10-127, a copy of Schedule L filed with the Internal Revenue Service, or a copy
				of Schedule L, Form 120 filed with the Arizona Department of Revenue for the
				purposes of taxation of income pursuant to Title 43, Arizona Revised Statutes.