In many organizations, the Si 200 form is used to document employee misconduct. The form is also known as the Statement of Alleged Misconduct, and it is a tool that can be used to ensure that proper procedures are followed when an allegation of misconduct is made. The Si 200 form can help to protect both the employer and the employee, and it can be used as evidence in a hearing or other legal proceeding. When completing the form, it is important to provide accurate and complete information.
If you would like first find out how much time you need to complete the si 200 form and how many pages it's got, here's some basic data that could be of use.
Question | Answer |
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Form Name | Si 200 Form |
Form Length | 3 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 45 sec |
Other names | form si 200, si200, bizfile sos ca gov form si 200, form si 200 state of california |
Secretary of State
Business Programs Division
Statement of Information, P.O. Box 944230, Sacramento, CA
Free Electronic Copy for Statements of Information Filed Online
Effective October 14, 2013
The Secretary of State's office is excited to announce that Monday, October 14th, 2013, corporations who use our online
By simply providing an email address as part of the submission process, an image of the filed statement in PDF format is emailed automatically once the statement is successfully processed. The email address provided for purposes of receiving a free filed copy is not public information, and is deleted from our system once the image of the filed statement is sent.
The required Statement of Information for most corporations can be filed online and is processed generally in one business day. A free PDF copy of the submitted Statement of Information will be returned electronically following confirmation of payment, if an email address is provided. Additional plain copies and certified copies may be requested at a later time in person or by mail. Refer to Information Requests for information about obtaining additional copies.
Online Copies: Annual/Biennial Statements of Information (Rev. 10/31/2013) |
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Instructions For Completing Form
For faster processing, the required statement for most corporations can be filed online at https://businessfilings.sos.ca.gov.
Every domestic stock and agricultural cooperative corporation must file a Statement of Information with the California Secretary of State, within 90 days after the filing of its initial Articles of Incorporation, and annually thereafter during the applicable filing period. The applicable filing period for a domestic corporation is the calendar month during which the initial Articles of Incorporation were filed and the immediately preceding five calendar months. A corporation is required to file this statement even though it may not be actively engaged in business at the time this statement is due. Changes to information contained in a previously filed statement can be made by filing a new form, completed in its entirety.
Legal Authority: Statutory filing provisions are found in California Corporations Code section 1502 or California Food and Agricultural Code section 54040, unless otherwise indicated. All subsequent statutory references are to the California Corporations Code, unless otherwise stated. Failure to file this Statement of Information by the due date will result in the assessment of a $250.00 penalty. (Section 2204; California Revenue and Taxation Code section 19141.)
Fees: The Statement of Information must be accompanied by a $20.00 filing fee and $5.00 disclosure fee. The filing fee and the disclosure fee may be included in a single check made payable to the Secretary of State. All domestic stock and agricultural cooperative corporations must pay a total of $25.00 at the time of filing the statement. If this statement is being filed to amend any information on a previously filed statement and is being filed outside the applicable filing period, as defined above, no fee is required.
Copies: To get a copy of the filed statement, include a separate request and payment for copy fees when the statement is submitted. Copy fees are $1.00 for the first page and $.50 for each additional page. For certified copies, there is an additional $5.00 certification fee, per copy.
Publicly Traded Corporations: Every publicly traded corporation also must file a Corporate Disclosure Statement (Form
Complete the Statement of Information (Form
Item 1. Enter the name of the corporation exactly as it is of record with the California Secretary of State.
Item 2.
Item 3.
Item 4.
Item 5.
Item 6.
Items
Items
Item 13.
Item 14.
Item 15.
Item 16.
Item 17.
Completed forms along with the applicable fees can be mailed to Secretary of State, Statement of Information Unit, P.O. Box 944230, Sacramento, CA
State of California |
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Secretary of State |
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Statement of Information
(Domestic Stock and Agricultural Cooperative Corporations)
FEES (Filing and Disclosure): $25.00.
If this is an amendment, see instructions.
IMPORTANT – READ INSTRUCTIONS BEFORE COMPLETING THIS FORM
1.CORPORATE NAME
2.CALIFORNIA CORPORATE NUMBER
This Space for Filing Use Only
No Change Statement (Not applicable if agent address of record is a P.O. Box address. See instructions.)
3.If there have been any changes to the information contained in the last Statement of Information filed with the California Secretary of State, or no statement of information has been previously filed, this form must be completed in its entirety.
If there has been no change in any of the information contained in the last Statement of Information filed with the California Secretary of State, check the box and proceed to Item 17.
Complete Addresses for the Following (Do not abbreviate the name of the city. Items 4 and 5 cannot be P.O. Boxes.)
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STREET ADDRESS OF PRINCIPAL EXECUTIVE OFFICE |
CITY |
STATE |
ZIP CODE |
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5. |
STREET ADDRESS OF PRINCIPAL BUSINESS OFFICE IN CALIFORNIA, IF ANY |
CITY |
STATE |
ZIP CODE |
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CA |
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6. |
MAILING ADDRESS OF CORPORATION, IF DIFFERENT THAN ITEM 4 |
CITY |
STATE |
ZIP CODE |
7.EMAIL ADDRESS FOR RECEIVING STATUTORY NOTIFICATIONS
Names and Complete Addresses of the Following Officers (The corporation must list these three officers. A comparable title for the specific officer may be added; however, the preprinted titles on this form must not be altered.)
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CHIEF EXECUTIVE OFFICER/ |
ADDRESS |
CITY |
STATE |
ZIP CODE |
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SECRETARY |
ADDRESS |
CITY |
STATE |
ZIP CODE |
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9. |
CHIEF FINANCIAL OFFICER/ |
ADDRESS |
CITY |
STATE |
ZIP CODE |
Names and Complete Addresses of All Directors, Including Directors Who are Also Officers (The corporation must have at least one director. Attach additional pages, if necessary.)
10. |
NAME |
ADDRESS |
CITY |
STATE |
ZIP CODE |
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11. |
NAME |
ADDRESS |
CITY |
STATE |
ZIP CODE |
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12. |
NAME |
ADDRESS |
CITY |
STATE |
ZIP CODE |
13. NUMBER OF VACANCIES ON THE BOARD OF DIRECTORS, IF ANY:
Agent for Service of Process If the agent is an individual, the agent must reside in California and Item 15 must be completed with a California street address, a P.O. Box address is not acceptable. If the agent is another corporation, the agent must have on file with the California Secretary of State a certificate pursuant to California Corporations Code section 1505 and Item 15 must be left blank.
14. NAME OF AGENT FOR SERVICE OF PROCESS
15. STREET ADDRESS OF AGENT FOR SERVICE OF PROCESS IN CALIFORNIA, IF AN INDIVIDUAL CITY |
STATE |
ZIP CODE |
CA
Type of Business
16.DESCRIBE THE TYPE OF BUSINESS OF THE CORPORATION
17.BY SUBMITTING THIS STATEMENT OF INFORMATION TO THE CALIFORNIA SECRETARY OF STATE, THE CORPORATION CERTIFIES THE INFORMATION CONTAINED HEREIN, INCLUDING ANY ATTACHMENTS, IS TRUE AND CORRECT.
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TYPE/PRINT NAME OF PERSON COMPLETING FORM |
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SIGNATURE |
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APPROVED BY SECRETARY OF STATE |