TELEPHONE: (601) 359-1633
TOLL FREE: (800) 256-3494
TELEPHONE: (601) 359-1633
TOLL FREE: (800) 256-3494
Annual Reports
(* required fields)
Business Information
Annual Report Details
Business Email
*
Business Phone
*
Federal Tax Id
*
Nature of Business (Enter up to 3 NAICS codes)
*
Search for NAICS Codes
1.
2.
3.
Principal Address
Address Line 1
*
Address Line 2
City
*
State
Postal Code
*
Country
*
Registered Agent
You must file an amendment to change the agent information.
Entity Name
First Name
Middle Name
Last Name
Suffix
Address Line 1
Address Line 2
City
State
Postal Code
Officers and Directors
*
At least 1 Manager or Member must be listed.
Add Party
Title
Name
Address 1
Signature
The undersigned, by typing my name in the box below, certifies that I am authorized to file this document on behalf of this entity, has examined the document and, to the best of my knowledge and belief, it is true, correct and complete as of this day 3/23/2023.
Title
Organization Name
*
First Name
*
Middle Name
Last Name
*
Suffix
Address Line 1
*
Address Line 2
City
*
State
Postal Code
*
Country
*
Cancel
