ANNUAL REPORT                                                                         2020  
                              MARYLAND  STATE DEPARTMENT OF ASSESSMENTS AND TAXATION                                                                  Form 1 th 
                         Taxpayer Services - Charter Division P.O. Box 17052, BALTIMORE, MARYLAND 21297-1052                              Due April 15
                                                                                                                                          Date Received 
                   Type of Business                  Dept. ID        Filing           Type of Business                      Dept.  Filing by Department 
           Check one business type below             Prefix          Fee     Check one business type below                  ID     Fee 
                                                                                                                            Prefix 
           Domestic Stock Corporation                (D)             $300    Domestic Limited Liability Company             (W)    $300  
           Foreign Stock  Corporation                (F)             $300    Foreign Limited Liability  Company             (Z)    $300  
           Domestic Non-Stock Corporation            (D)             -0-     Domestic Limited Partnership                   (M)    $300 
           Foreign Non-Stock Corporation             (F)             -0-     Foreign Limited Partnership                    (P)    $300  
           Foreign Insurance Corporation             (F)             $300    Domestic Limited Liability Partnership         (A)    $300 
           Foreign Interstate Corporation            (F)             -0-     Foreign Limited Liability  Partnership         (E)    $300  
           SDAT Certified Family Farm                (A,D,M,W)       $100    Domestic Statutory  Trust                      (B)    $300  
           Real Estate Investment Trust              (D)             $300    Foreign Statutory  Trust                       (S)    $300  

 SECTION I – ALL BUSINESS ENTITIES COMPLETE                                      PLEASE CHECK IF THIS IS AN AMENDED RETURN 

      NAME OF BUSINESS  

      MAILING  ADDRESS  
      [  ] Check here if this is a change of  mailing address.                _________________________________________________________________  

      PLEASE NOTE: This will not change your principal office address.  
      You must file a Resolution to Change a Principal OfficeAddress.        

      DEPARTMENT ID NUMBER  
      (Letter Prefix followed by 8-digits) 

      FEDERAL EMPLOYER IDENTIFICATION NUMBER  
      (9-digit number assigned by the IRS) 

      FEDERAL PRINCIPAL BUSINESS CODE  
      (If known, the 6-digit number on file with theI RS)  
      NATURE OF  BUSINESS  

      TRADING AS NAME 

      EMAIL  ADDRESS  
      Include an email to receive important  reminders from the Department of Assessments and Taxation  

SECTION II -    ONLY CORPORATE ENTITIES COMPLETE 
A. Corporate Officers (names and mailing addresses)

President                                                                                                                                               _ 

Vice President 

Secretary 

Treasurer 

   B. Directors (names  only)

   _______________________________________________                             __________________________________________  

   ____________________________________________________                        _______________________________________________ 

   ____________________________________________________                        _______________________________________________ 

*REQUIRED INFORMATION FOR CERTAIN CORPORATIONS, MD CODE TAX PROPERTY §11-101   – PLEASE SEE INSTRUCTIONS

*Total Number of Directors      ___________                                  *Total Number of Female Directors                          __________   

                   TPS_Form 1 Annual Report  2019                                                                Page 1 of 2  http://dat.maryland.gov 

                                                                                                                               2020  
Department ID     # 
                                                                                                                             Form 1  
                                                                                                                                             
SECTION III –  ALL BUSINESS ENTITIES COMPLETE                                                                             Annual Report 

A. Does the business own, lease, or use personal property located  in Maryland?                                           [  ] Yes  [      ] No  
          If you answeredyes  , but your entity  * is exempt,   or has been granted an exemption from business 
       personal property assessment by the Department, DO NOT complete the Personal Property Tax 
       Return. For religious groups, charitable or educational organizations the Form SD-1 is optional. 

B. Does the business require or maintain a trader’s (retail sales) or other license with a local unit of                  [  ] Yes  [   ] No  
government?
       Example: Clerk of the Court or Liquor Board 

C. Did the business have gross sales in Maryland?                                                                         [  ] Yes  [   ] No  
       If yes, $                        total or amount of business transacted in MD. 

D. Did  the  entity  dispose, sell, or  transfer  ALL  of its  business  personal property  prior to January  1?  [       ] Yes    [  ] No 
       If you answered yes, please complete form SD-1. Do not complete the Personal Property Tax Return. 
If you answer "Yes" to questions A or B in Section Ill, and are not exempt as described in question A. please complete the 
Business Personal Property Tax Return, (Form 1 Sections V through VII) and return it, along with this Annual Report to the 
Department. The Personal Property Tax Return and instructions can be found online at: 
https://dat.maryland.gov/Pages/sdatforms.aspx#BPP 

If you answer "No" to the questions A and B in Section Ill, above you DO NOT need to complete the Personal Property Tax 

Return. Please complete Section IV below, sign and return this Annual Report to the Department: 
                                   Department of Assessments and            Taxation,  Charter Division    
                                              Box 17052,      Baltimore, Maryland 21297-1052       

          Questions? Contact Charter at 410-767-1340 • 888-246-5941 within Maryland • Email: sdat.charterhelp@maryland.gov 

SECTION IV –  ALL BUSINESS ENTITIES COMPLETE  
          By signing this form below, you declare, under the penalty of     perjury, and pursuant to Tax-Property Article 1-201 of the 
          Annotated Code of Maryland, that this Annual Report, including any accompanying forms, schedules, and/or statements, has 
          been examined by you and,   to the best of your knowledge and belief,   is a true, correct, and complete Annual Report        for the 
          Entity listed in Section I. 

          A. Corporate Officer or Principal of  Entity:
   PRINT  NAME  

   X SIGNATURE                                                                           DATE 

   MAILING ADDRESS 

   EMAIL ADDRESS                                                                       PHONE NUMBER 

          B. Firm   or Individual, other than taxpayer, preparing this Annual Report/Personal Property Tax Return:

   PRINT  NAME  

   X SIGNATURE                                                                             _   DATE                       _ 

   MAILING ADDRESS 

   EMAIL ADDRESS                                                                       PHONE NUMBER 

          PLEASE BE SURE TO SIGN THIS ANNUAL REPORT TO  AVOID REJECTION BY THE DEPARTMENT!  

                  TPS_Form  1 Annual  Report  2019                                           Page 2 of 2  http://dat.maryland.gov