The following is a sample of a typical Statement of Business published to comply with Nevada Revised Statutes 80.190.


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Statement of Business for the calendar year 2003
SAMPLE COMPANY
..................................................
name of person submitting statement
SAM SAMPLE
title of person submitting statement
PRESIDENT
principal office
1234 ANY ST STE 56
SAMPLETOWN US 00000
Nevada office
4321 NEVADA AVE STE 0
NEVADATOWN NV 89000
assets $0.00 - liabilities $0.00
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