
Texas Franchise Tax Public Information Report
(Rev.9-15/33)
Taxpayer number
13196 Tcode
05-102
Mailing address
City
Taxpayer name
Blacken circle if there are currently no changes from previous year; if no information is displayed, complete the applicable information in Sections A, B and C.
Principal place of business
Name
Term
expiration
d m m d y y
Title Director
YES
City
Mailing address
Name
Term
expiration
d m m d y y
Title Director
YES
City Mailing address
Name
Term
expiration
d m m d y y
Title Director
YES
City Mailing address
SECTION B 0 percent or more.
Percentage of ownership State of formation
Percentage of ownership State of formation
SECTION C
Percentage of ownership State of formation
State ZIP Code City
(see instructions if you need to make changes)
Agent:
ore in this entity.
Date Area code and phone number
( ) -
Title
VE/DE PIR IND
Blacken circle if the mailing address has changed.
You have certain rights under Chapter 552 and 559,
Government Code, to review, request and correct information
Report year
State ZIP code plus 4
State
State
State
ZIP Code
ZIP Code
ZIP Code
*1000000000015*
*1000000000015*
*1000000000015*
*1000000000015*
1000000000000
Professional Associations (PA) and Financial Institutions
This report must be signed to satisfy franchise tax requirements.
SECTION A
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