2021-679-E-AMS-OWASA-Community Climate Action Grant

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3a 3c 3e 3i 3k LEGAL NAME OF BUSINESS ENTITY FEIN NOT REQUIRED(SEE INSTRUCTIONS)3b FEIN 3d BPT ACCOUNT NO.(SEE INSTRUCTIONS)MAILINGADDRESS 3h FEDERAL BUSINESS CODE NO.(NAICS) (SEE WWW.CENSUS.GOV)3f STATE 3g ZIP CODECITY CONTACT PERSONCONCERNING THIS FORM 3j CONTACT PERSON’SPHONE NO. TAXPAYER’SE-MAIL ADDRESS Date of Incorporation or Organization State of Incorporation or Organization County of Incorporation or Organization Title DateOwner’s/Officer’sSignature Preparer’s signature Date Firm’s name (or yours, if self-employed) and address E.I. No. ZIP Code Phone No.Preparer’s SSN/PTIN 93540109-06-19 FORM 1a 1b 1c 1d 2a 2b 2c 2d 4a 4b 5a 5b 5c Amount Due 6 7 8 9 10 11 12 13 14 15 16 17 18 19 6 7 8 14 15 16 Privilege tax due 9 10 11 12 13 17 Check here if paid electronically Under penalties of perjury, ¥¥ ¥ If you are not making a payment, mail your return to: Alabama Department of Revenue Business Privilege Tax Section P.O. Box 327431 Montgomery, AL 36132-7431 If you are making a payment, mail your return, Form BPT-V, and payment to: Alabama Department of Revenue Business Privilege Tax Section P.O. Box 327320 Montgomery, AL 36132-7320 www.revenue.alabama.gov (line 6 less line 7) (Page 2, Part B, line 19) (line 9 less line 10) (see instructions) (see instructions) (add lines 11, 12 and 13) (add lines 8 and 14) ¥ ¥ ¥ Calendar Year (Taxable Year 2020 - determination period beginning and ending 12/31/2019) Fiscal Year (Taxable Year 2020 - determination period beginning and ending /2020) Amended Return (Attach Supporting Documentation)52/53 Week Filer Type of taxpayer ¥S Corporation ¥Limited Liability Entity ¥Disregarded Entity ¥LLE taxed as S Corporation ¥S Corporation President Information Change on attached Schedule AL-CAR (Corporation Annual Report) ¥S Corporation Secretary Information Change on attached Schedule AL-CAR (Corporation Annual Report) ¥¥¥ Secretary of State corporate annual report fee $10 (corporations only) Less: Annual report fee previously paid for the taxable year ~~~~~~~~¥ ~~~~~~~~~~~~~¥ Net annual report fee due ¥ Less: Privilege tax previously paid for the taxable year Net privilege tax due ~~~~~~~~~~~~~~~~~~~~¥ ~~~~~~~~~~~~~~~¥ ~~~~~~~~~~~~~~~~~~~~~¥ Penalty due Interest due Total privilege tax due ~~~~~~~~~~~~~~~~~~~~~~~~~¥ ~~~~~~~~~~~~~~~~~~~~~~~~~¥ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~¥ Net tax due Payment due with return if line 15 is positive. (Form BPT-V must be submitted if payment is made by check.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~¥ ¥ Amount to be refunded if line 15 is negative Family LLE Election attached ~~~~~~~~~~~~~~~~~~~~¥ ¥ ¥I authorize a representative of the Department of Revenue to discuss my return and attachments with my preparer. I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge andbelief they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Telephone Number: (334) 353-7923 Web site: Alabama Department of Revenue ¥¥¥ ¥¥ ¥¥¥¥ ¥¥ ¥ ¥ ¥¥ ¥¥ ¥¥ (check only one): Full payment of any amount due for a taxable year is due by the original due date of the return (without consideration of any filing extensions in place) (Signature required below) TAXPAYER INFORMATION RETURN INFORMATION COMPUTATION OF AMOUNT DUE OR REFUND DUE Please Sign Here Paid Preparer’s Use Only Alabama Business Privilege Tax Return and Annual Report PPT 2020 X 01/01/2019 X EAGLE SOLAR & LIGHT, LLC 812080160 4005 2ND AVENUE SOUTH BIRMINGHAM AL 35222 238900 SAMUEL E YATES 205-202-2208 SYATES@EAGLESOLARANDLIGHT.COM 01/01/2017 ALABAMA JEFFERSON 395 0 395 395 395 395 X 03/10/2020 CLAUDE H. ESTES + COMPANY, P.C.63-1103751 2117 MAGNOLIA AVE. SOUTH, SUITE 200, BI 35205 205-930-9789 P01288988 1019 DocuSign Envelope ID: 6F2DEF91-DA4B-449D-8062-2F5319D9C9CC