CORPORATE QUESTIONNAIRE · 600 Grand Boulevard, Suite 201 • Destin, Florida 32550 • Phone...
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SHANNON L. WIDMAN, ESQ. *Formerly Shannon L. Porath DANIEL S. FRANKFURT, ESQ. *Also Licensed in California STACEY E. ALVARADO, ESQ. *Retired 600 Grand Boulevard, Suite 201 • Destin, Florida 32550 • Phone 850.622.0102 • Fax 850.622.1132 • www.PorathLaw.com CORPORATE QUESTIONNAIRE Today’s Date: ___________ NAME OF BUSINESS ENTITY: Please choose three names for your entity, in order of preference. 1. ____________________________________________________________ 2. ____________________________________________________________ 3. ____________________________________________________________ Choose the type of business entity you would like for us to file: ____ Florida Limited Liability Company ____ Incorporation for a Florida Profit Corporation ________S-Corp or ________ C-Corp How many shares will there be? ______ Par value ___________ ____ Incorporation for a Florida Non-Profit Corporation ____ Florida Limited Partnership What type of business? _________________________________________________________________________________ What type of goods sold, or services provided? ________________________________________________________ ADDRESS Please provide the physical address as well as the mailing address for the corporation. Physical (Florida) Address: _________________________________________________ _________________________________________________________________________________ Mailing Address: _____________________________________________________________ _________________________________________________________________________________ Contact Person/Responsible Party _______________________________________________________________ Contact’s Social Security Number (for issuance of Tax ID Number) ____________________________ Contact’s Phone Number(s) ________________________________________________ Contact’s Email Address ____________________________________________________ Contact referred by _________________________________________________________
Transcript of CORPORATE QUESTIONNAIRE · 600 Grand Boulevard, Suite 201 • Destin, Florida 32550 • Phone...
SHANNON L. WIDMAN, ESQ. *Formerly Shannon L. Porath
DANIEL S. FRANKFURT, ESQ. *Also Licensed in California
STACEY E. ALVARADO, ESQ. *Retired
600 Grand Boulevard, Suite 201 • Destin, Florida 32550 • Phone 850.622.0102 • Fax 850.622.1132 • www.PorathLaw.com
CORPORATE QUESTIONNAIRE
CORPORATE QUESTIONNAIRE Today’s Date: ___________ NAME OF BUSINESS ENTITY: Please choose three names for your entity, in order of preference. 1. ____________________________________________________________ 2. ____________________________________________________________ 3. ____________________________________________________________ Choose the type of business entity you would like for us to file: ____ Florida Limited Liability Company ____ Incorporation for a Florida Profit Corporation ________S-Corp or ________ C-Corp How many shares will there be? ______ Par value ___________ ____ Incorporation for a Florida Non-Profit Corporation ____ Florida Limited Partnership What type of business? _________________________________________________________________________________ What type of goods sold, or services provided? ________________________________________________________ ADDRESS Please provide the physical address as well as the mailing address for the corporation. Physical (Florida) Address: _________________________________________________ _________________________________________________________________________________ Mailing Address: _____________________________________________________________ _________________________________________________________________________________ Contact Person/Responsible Party _______________________________________________________________ Contact’s Social Security Number (for issuance of Tax ID Number) ____________________________ Contact’s Phone Number(s) ________________________________________________ Contact’s Email Address ____________________________________________________ Contact referred by _________________________________________________________
SHANNON L. WIDMAN, ESQ. *Formerly Shannon L. Porath
DANIEL S. FRANKFURT, ESQ. *Also Licensed in California
STACEY E. ALVARADO, ESQ. *Retired
600 Grand Boulevard, Suite 201 • Destin, Florida 32550 • Phone 850.622.0102 • Fax 850.622.1132 • www.PorathLaw.com
TITLES FOR MEMBERS/OFFICERS/DIRECTORS LLC: MGR = Manager AMBR = Authorized Member MEMB = Member Corporation: P = President VP = Vice President S = SECRETARY T = TREASURER D = DIRECTOR PARTIES Please include a list of names and addresses of any and all parties involved in the business entity including but not limited to Shareholders, Members, Officers, Directors, Managers, President, Vice President, etc. Name: __________________________________________________________ Title: ____________________________________________________________ Address: ________________________________________________________ __________________________________________________________________ Name: __________________________________________________________ Title: ____________________________________________________________ Address: ________________________________________________________ __________________________________________________________________ Name: __________________________________________________________ Title: ___________________________________________________________ Address: ________________________________________________________ __________________________________________________________________ Name: __________________________________________________________ Title: ___________________________________________________________ Address: ________________________________________________________ __________________________________________________________________
