Action Glass & Mirror Annual Report

SOSID: 0572530
CD -479 (91) Date Filed: 3/28/2017 11:59:00 PM
9-9-16 BUSIN� CI�I���A� ����� Elaine F. Marshall
North Carolina Secretary of State
NAME OF BUSINESS CORPORATION:CA2017 087 06069
ACTION GLASS & MIRROR, INC
SECRETARY OF STATE ID NUMBER: ***2530 STATE OF FORMATION: NC FISCAL YEAR END: -14/311/16
1 hereby certify that an annual report completed in its entirety has been submitted and the information requested below (required by NCGS 66-16-22) has not
changed and is therefore up to date,
SECTION A: REGISTERED AGENT'S INFORMATION
I. NAME OF REGISTERED AGENT: WILLIAM R C CHRAN
2. SIGNATURE OF THE NEW REGISTERED AGENT;
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED OFFICE STREET ADDRESS & COUNTY 4. REGISTERED OFFICE MAILING ADDRESS
8402 FAIRVIEW RD STE 105 84Q�I-IRVIEW RQ STE, 1051
MINT HILL SYNC 28227 MECKLENBUR MINT. HILL t NC 28227 MECKLENIBUR
SECTION B; PRINCIPAL OFFICE INFORMATION
I. DESCRIPTION OF NATURE OF BUSINESS: GLASS INSTALLATION
2. PRINCIPAL OFFICE PHONE NUMBER: 7p4_545-3476 4. PRINCIPAL OFFICE EMAIL:
3. PRINCIPAL OFFICE STREET ADDRESS & COUNTY 6. PRINCIPAL OFFICE MAILING ADDRESS
8402 FAIRVIEW RD STE 105 8402 FAIRVIEW RD STE: 105
MINT HILL NC 28227 DINT HILL NC 28227
SECTION C: OFFICERS (Enter additional officers in Section E.)
NAME: WILLIAM COCHRAN NAME: VIKKI COCHRAN NAME;
TITLE: PRESIDENT TITLE: VICE FRES/SECRETAR TITLE:
ADDRESS: 2940 MCMANUS RD ADDRESS: 2940 MCKANUS RD _ ADDRESS .
MIDLAND NC 28107 MIDLAND NC 28107
SECTIO .D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
r
-S,
SIGNATURE DATE
Form must be Signed by an officer listed ynder Section C of this form.,
VIKKI COCHRAN
Print or Type Name of Officer
MC�tPd TCl FILE AND FEES; TWO FILING OPTIOWS
VICE PRESIDENT
Pript or Type Title of OMo4r
REv 01/25/17 PRO
1. File.Jhe annual report electronically with the NC Secretary of State for a reduced fee of twenty dollars ($2Q) - eighteen dollar
($18) fiiirig fee and two dollar ($2) electronic filing fee, tale electronically at'Wile tAnnual Repots OnliPQ" with real time filing; sir
2. File the annual report (Form CD -479), in paper form with the NC Department of Revenue for a fee of twenty-five dollars ($25).
Mail Form CD -479 to NC DOR, PO Box 25000, Raleigh, NC 2764.0-0$00. The paper return is not a real-time filing and will
take longer to process.
Note; North Carolina law does not permit Qmited Liability Companies (LECs) and Limited Liability Partnerships (LI -Ps) to file
the annual report with the NC Department of Revenue. Thomfore, all I I -Cs and "Ps mu§t file directly with the NC Secretary
of State's Office at the link above.