Document rBgM0XomoqnR42krmmoNxMkR0

Affidavit t& Be Filed By Foreign orporation Pursuant to the provisions of "The General and Business Corporation Law" of Missouri, 1959, upon increase of a corporation's stated capital and surplus as represented by its property located in and business transacted in Missouri as shown on balance sheet for last fiscal or cc.jndar year, the .undersigned Corporation submits the following affidavit. (File even if no tax is due.) STATE OF____ COUNTY OF.___OAKLAND Ernest B. Wolf President or Vice-President St* Lou'S ? Vo* Bigelow-Liptak Corporation a corporation duly incorporated under the laws of the State of .......Michigan and qualified to do business in Missouri since . ...) r.9.9......(File No. ^12926 being duly sworn upon his oath states that he is ........__________________________ oft said_] corporat. ion, andj t.7hat, : President or Vice-President ^ (9-A) The aggregate number uf .shares which it has authority to issue, itemized by classes, par value of shares, shares without par value, and series, if any, within a class, is: Class Common Series (if any) None Number of Shares 2,000 Par value per share or statement that shares are without par value Mo Par Value (10-A) The aggregate number of its issued shares, itemized by classes, par value of shares, shares without par value, and series, if any, within a class, is: Class Common Series (if any) None Number of Shares 2,000 Par value per share or statement that shares are without par value No Par Value (11-A) The amount of stated capital and the amount of paid-in surplus of the corporation as defined by "The General and Business Corporation Law of Missouri" is: Stated Capital----------------- -------- ------------------------- --- --------------------------- $...... ------------------------------------- Paid in Surplus ^ 16,449.04 Total_____ $___ 216.4A9.__M_ __ __ (12-A) Total value of all the property of the corporation is.................... S--*080,740.96_ (13-A) Total value of all the property of the corporation located in Mis souri is........................... ----------------- --------------------------------------------------------- $--------------- Z&&*_23_ (14-A) Gross amount of business of the corporation transacted by it everywh. ere is -------------------- ------- -------------------------------------------------------------5--- 9---,-1-3--8--,-3--2--3--.-0--1---- (15-A) Gross amount of business of the corporation transacted by it in the State of Missouri is........................................................................................ $------- .3.27.^420.7 (16-A) The amount of stated capital and surplus of the corporation (including all surplus, such as paid-in and earned surplus) is.........................$--1 c/9 619 98- (17-A) The proportion of stated capital and-surplus represented by the co* rporation's property in Missouri is...................................1................................. $-......... ,^8 'lO'l 2S That the address of its registered office in Missouri is ----- , and the name of its registered agent at such address is............ C?..T ._Corpor a t ion........................................... Pfccijoni or Vice-President Subscribed and sworn to before me this 2.2nd............. _ day of____ _____________________ , 19__^ / __ .1. Marie- E. Raquet Notary Public iWayne County /Acting in Oakland County : ' My commission expires: ..................................... -.......................> 19. 68 STATE OF MISSOURI DE-ARTI'.EK'T O- < Q r?r n 3ICZLCW-LI FTAX-CORPCRATION SOUTHFIELD, MICHIGAN LIST OF V IS-PRESIDENTS NAME Richard E. Samoson Ernest B. Wolf Reginald T. Bentley Harry M. Stover Harry P. Homolya Harold L. Beynori John Anderson ADDRESS Birmingham, Michigan Detroit, Michigan Dearborn, Michigan Bloomfield Hills, Michigan Birmingham, Michigan Mexico, Missouri Bloomfield,Hills, Michigan