Annual Company Minutes Intake Form

Has the name of the company changed?Yes No

Do you used an Assumed Name?Yes No

If yes, is the Assumed Name registered with the Secretary of State?YesNo

Is the assumed name registered with the Department of Labor and Industry?Yes No

Did you change the Registered Address of the Company?Yes No

Did you change the principal place of business or office location? Yes No

Is there a change in ownership of the Company? Yes No

Is there a change in the directors/governors of the Company? Yes No

Is there a change in Officers of the Company? Yes No

Did you amend the Articles of Incorporation/Organization? YesNo

Did you amend the By-Laws? Yes No

Do you have a Buy/Sell Agreement?Yes No

Was a life insurance and/or disability insurance policy purchased or renewed?YesNo

Was any stock/ownership share sold or purchased?

Do the owners have a will? YesNo

Was a group term life or medical plan adopted, modified, or discontinued?YesNo

Did the company adopt a 401(k), profit sharing, ESOP, pension, SEP IRA or other retirement plan?YesNo

Did the company make a contribution to a 401(k), profit sharing, or other retirement plan? Yes No

Did the company adopt any fringe benefits for directors/governors or officers?Yes No

Did you, or will you, pay a distribution of profits to owners? Yes No

Is a salary being paid to directors/governors or officers? YesNo

Is a bonus being paid to directors/governors or officers? YesNo

Did the company open or close a bank account? YesNo

Was money borrowed from any source? YesNo

Did the company make a loan to any owner, director/governor, officer, or employee?Yes No

Was any company property sold, purchased, leased, exchanged, or pledged as security for a loan or other
obligations (real estate, or company property not used in the ordinary course of business including office
furniture, large tools, vehicles)? YesNo

Did the company enter into any Employee Agreement, Management Agreement, Consulting Agreement, Non-Compete Agreement, Confidentiality Agreement, etc.? YesNo

Section I.

Changes to Company's Legal Status

Section II.

Actions Affecting Owners

Section III.

Employee Benefits

Section IV.

Actions Involving Finances