Existing Corporation - Questionnaire - Montero Corporate Services

Existing Corporation Information Questionnaire

Form Completed By*
Email Address*
Bill to:*
Bill to Address
Street Address Address Line 2 City State ZIP Code
Corporation Name*
Please attach copy of Articles of Incorporation
Please attach a copy of the Bylaws for the Corporation
Incorporation Date*
Date Format: MM slash DD slash YYYY
FEIN for Entity*
State of Incorporation
Corporation Type
Loan-Out
- Yes
- No
Position (i.e., Writer, Producer, Actor, Etc)
Nature of Business*
Fiscal Year End
Directors
# of Directors*
Director 1*
Director 2
Director 3
If more than three directors, list here
Officers
President*
Secretary*
Treasurer (CFO)*
Additional Officers
Additional Officers
- Yes
- No
Officer Name
Officer Title
Address of Corporation*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number*
Fax
Mailing Address*
- Same
- Different
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Shareholders
Total Authorized Shares*
Number of Shareholders*
Shareholder 1 Name*
First Last
Shareholder 1 Number of Shares Held*
Please enter a number from 0 to 999999.
Shareholder 2 Name
First Last
Shareholder 2 Number of Shares Held*
Please enter a number from 0 to 999999.
Shareholder 3 Name
First Last
Shareholder 3 Number of Shares Held
Please enter a number from 0 to 999999.
Shareholder 4 Name
First Last
Shareholder 4 Number of Shares Held*
Please enter a number from 0 to 999999.
If more than 4 Shareholders-Please provide Name and number of shares held
Additional Information (if any)

Montero Corporate Services

Entity Questionnaires

Existing Corporation Information Questionnaire

Directors

Officers

Additional Officers

Shareholders