Professional Documents
Culture Documents
TAX COMMISSION
COMPANY
5261
ReV~Od2003
LL
INFORMATION
Identificatfon Number; Address
City
REPORT ~--.-~-------~
12/31/2006
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0 Corporation
Partnership
o LLC
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SEE STATEMENT
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SE:E STATEMENT
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Under penalties of perjury, I declare that I hall knowledge and belief It is true, accurate and c
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}}ttt.tjr::1Jill~jf$w~~:B~mj:rr.~g)2ktnITlf~~ig~it~;
!.~~·:§f:qW~~PQg~~iB;\~b5{~{4t~!::f¥~~:~!~~\~;";
Date
STATEMENT A
ENTITIES INVESTING IN THE RURAL SMALL BUSINESS CAPITAL COMPANY Identification Investor's Name Address Date of Investment Amount Invested
4,000,000 4,000,000 2,500,000
2,600,000
Number
3)
1. U.,C
2,000,000
Affinity Ventures
Capital Company,
LLC
STATEMENT B
ENTITIES INVESTING IN· OKLAHOMA RURAL SMALL BUSINESS VENTURES IN CONJUNCTION WITH THE RURAL SMALL BUSINESS CAPITAL COMPANY Id entificatio r Number
Business
Invested In
Mountain Aerospace, Inc,
Investor's Name
2) Affinity Ventures Capital Fund I,LLC
STATEMENTC
OKLAHOMA RURAL SMALL BUSINESS VENTURES IN WHICH INVESTMENTS WERE MADE BY THE RURAL SMALL BUSINESS CAPITAL COMPANY Identification Number Date of Amount
4,000,000 4,000,000 2,500,00'0) 2,600,00:i 2,000,000
Name of Business Invested If 1) Quartz Mountain Aerospace. Inc. 2) Quartz Mountain Aerospace, Inc.
3) Ul1iTherm Food systems.tno.
CAPITAL
COMPANY
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INFORMATION
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IdentificaUon Number
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Corporation
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__ Zip.
nLLC _
Address
City
1)
21,eoo,Ooo
5QO,OOO £,300,000
2)
3) Argonaut Oktahoma.Lt.C;
1)
1,000,000 12,200,000
2)
L.L.C.
500,000 £,300,000
2) 3)
L.P.
Under penalties of perjury, I declare that I have examined this return, including accompanying edge and belief it is true, correct and complete.
Dale
The Oklahoma Tax Commission is no! required to give actual notice to taxpayer of changes in any state tax law.
State of Oklahoma
R~vl.~d 2006
12/31/2006
.,,_~._ .. .._ ..
0 Corporation
U Partnership
_
Dll.C
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Stab
Cor:npJete the appli,p~blesections for investments made during this calendar year. Attach additional schedules If necessary, Enclose a copy of the capital company's annual flnanclal statements, Including documentatlon to indicate thO methods of operation and conduct of the business of the capital company.
A
Amount
Address
C~;N'l'RJ\1.
Invested
1,290,000
snavrce
1)
CORPORATION
2) 3)
4)
B
Business Inve$ted In 1) 2) '" ..~
~:,.
3)
C
of Business
1)
2} 3)
eND E-LYSIOM
SYSTEMS
l,290,OOD
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The Oklahoma TaxCommJssfon Is not required to give actual notice to taxpayer of changes in
any state
lax law.
Date
State of Oklahoma
CAPITAL COMPANY
x •. ,.!".;
Business
Capital
Company
1;fri*fll~il!f~jtl'IIBlllt~llllf{:';;~~~i4
2) John conner McClendon Trust
City
3)
1) 2)
3)
2)
3)
This information
Under penalties of perjury. !declare that I have ~JCRminru1 edge and belief it is true, correct and complete
int'Jw1fnn
",,,,,......,mnAnv;nn
"f"t",mo<>ntc:
The Oklahoma
Tax Commission
Is r
; in any state
tax law,
McClendon Venture Company, lLC Schedule to Form 526 Oklahoma Tax Commission
Section C for Form 527 - Oklahoma Srn:dl Business Ventures In Which Invostments Were Made By The Srna II Bus1 noss CaplItaIe ompany Name of Business Invested In Amount Invested 10 Number J Type of Business I Dale of Investment I Type of Investment Total Environment Nursery, lLC 3,000,000 Idba Cedar VaHey Liners 12,952 10,825
87,653
55.400
3300,930
52 GJ
R~.~o2003
0 Corporatlon
OAK HILLS C8E!ITAI._QOMPANY,
0
Lt C
Partnership
o LlC
1)
54,3S2,910
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1)
OK VENTURE
CARTER CO CAR CO
20,985,090
2}
4)
0·'"
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MADE
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)mpanylng statements, and to the bestjof my
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STATEMENT
OKLAHOMA RURAL SMALL BUSINESS VENTURES IN WHICH INVESTMENTS BY THE RURAL SMALL BUSINESS CAPITAL COMPANY Identification Number Date of Investment
WERE MADE
Type of Buslnes
Amount Invested
6.795,364 12,8$5,687 10,570,566 10,670,566 9,060,485 3,775.202
2) 3) 4) 5) 6) 7)
New Century Medical EquIpment, L Carter Counly Car Company, LLC Eagle ~ullders, LLC Agri-Energy.lLC
SentI)' Storage. LtC
Oklahoma Agrl-Bullders,
uc
755,040
~
u,
5261
R~isoo~3
0 Corporatlon
Partnership
c: LLC
_
Nama of Rural Small Business Capital Company .QKh81:::I.Q.MAJblo.USIRIAI VeNIUBE.cAE.lJ~.l-...1Q Address .. - - . -- - - - - - . -- .- City
5)~
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Under penattles of perjury, f declare that I ha.ve examined this return, incluljiflg accompanying kno'NIedge and belief It is true, accurate and correct. ~""""'H""'-Offic~~~ Gen~
Date
STATEMENT
Investor's Name 1) Altus Venture Capital Fund V, LLC 2) Altus Venture Capital Fund V. LLC
3) Altus Venture Capital Fund V,
Address
Amount
Invested
14,034,960 204.754 11,500,000
29,8UO,OOO
LLe
11,500,000
Oklahoma
LLC
STATEMENT B
B ENTITIES
INVESTING IN OKLAHOMA RURAL SMALL BUSINESS VENTURES IN CONJUNCTION WITH THE RURAL SMALL BUSINESS CAPITAL COMPANY Identlficatior Number Business Identificatior Date of Amount Number Investment Invested
Inc, Inc.
Inc, Inc.
1(\0,
Investor's Name
1) AI~U$Venture Capital Fund V, LLC
Invested In
Quartz Mountain Aerospace, Quartz Mountain Aerospace,
Quartz Mountain Aerospace, Quartz Mountaln Aerospace,
28,069,92.0
2) 3) 4) 5)
Altus Venture Oapltal Fund V, LLC Altus Venture Capital Fund V, LLC Altus Venture Capital Fund V. LLC Altus Venture Capital Fund V,
409,508
21,634,700
lLC
60.477,753 21,882,700
STATEMENT
OKLAHOMA RURAL SMALL BUSINESS VENTURES IN WHICH INVESTMENTS BY THE RURAL SMALL BUSINESS CAPITAL COMPANY Identification Number Date of
WERE MADE
Amount
Name of Business Invested lr 1) Quartz Mountain Aerospace, Inc. 2} Quart~ Mountain Aerospace, Inc.
3) Quar1z Mountain Aerospace, Inc.
Type of Busines
I nvestment
Invested
14,034,S60
204,754
11.500,000
29,800,000 11,500,000
Inc.
Inc.
526!
. INFORMATION REPORT
31, 2006
Identification
Numbe
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SCISSOBTll,ir. QlPI:m,r, COM~l\N!. LL""'C
Partnership
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~LLC
Address
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Under penalties of petjury,I declare thfl1 r nRVA AX'RmiMci knowledge and baliefit is true. accurat
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State of Oklahoma
rS261
Re"I~w2006
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Identlflcation Number
Name
of
Capftal Company
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Sea Statemant 1
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See Statement
5,770.715.67
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2) 3)
see Statement 1
2,93&452,36
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of perjury, I declare that I have ilta,-amJ to the best of my knowf-
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---------------------------------
1) 2)
3)
113,()9S.
1)
2) 3)
3}
. . This Information return, including enclosures, must be filed by April 3uth.
and to the best of my knowlUnder ptmafties of perjUry, J declare that r have examined this return, Incloolng accompan~jng statements, edge and belief i~ true, correct and complete, iI. ..
Data
IWljJ<:lytll {.IT "fJ<lTII!~~ 1fT
The Oklahoma
Tax
Commission
t',·
S1ate of Oklahoma
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!5261
Rev(sed 2007
DLLC
_
1)
2)
3)
4)
1) 2)
3)
1) 2) 3) ': ""'. . ".: ... ' . This info'n,nntion return, including enclosures, must be flied by April301h. . .
Under penalUes of perjury, I declare that f have examined this return, including accompanying and belief II is true, correct and complete, _
---
Dat'"
not required to give actual notice to taxpayer of changes In any state tax law.
State of Oklahoma
0 Corporation
Foxborou9'h Capital
0 Partnership
OLLC
Name
Cf1y
COll1R,ml,LLC
Address
'30,970
000
r.r.c
1)
2)
3)
1) See
Dale
The Oklahoma
Tax Commission
tax law.
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1IIIIIIIIlllmlllll[IIIIIIIIJ~Ilmlm II~IIIII
REPORT
Raviwd2Q07
'e\ -.:
INFORMATION
~5261
CLLC
_
,<.,·v·.· .:,·,.
Identirlcation Number. ~~~_.. DCorporatidli' Name of Rurar Small Business Capital Company _M_c_C_le_n_d_o_n_V_e_nt_u_re_C_o_m..:.p_a_nz,.,:~, _L_C ....L
0 Partnership
1)
2)
3)
Aubrey K. McClendon John Connor McClendon Trust Cathleen Byrns McCien(lon Trusl W~lIam Upton McClendon Tf1.lat
$12,708,162
$, 223,196
$ 223,196
4)
s 223,196
1)
2)
3)
1) See SchedUle 2) 3)
Attached
$1,635,435
Date
McCfendon Venture Company, LLC Schedule to Fonn 526 Oklahoma Tax Commission
Sact Invostors Name
Procure Ml<l_1 Holdtngs. LtC
w __
(10
Af or FOrm 526 • Entities Investing in the Rural Small Buslnoss Capitlal Company Address Date offnv I TVpe of Invootmert I Id Number I ,
J I
Amount Invested
4.000.000
Were MadQ
By
10 Number
I Typo
of BuSiness
Date of Investment
.>~, ........ -.•• -
Type of Investment
•• -•• -~-.~ ••••
~~"T~~~.n"'~"T"_'"
-,.> ... ,
f---
r-r-f--f--f--'---
-m_ •••"""'_'
-~,-,-. -~~
91.409
29,900
a 900
r---
43,600
IEtlefgY
Recovery, lLC
20-1B7B1~2
~-
I-
-ITolal
20.1g~ 10,400
10.350
lilre recycflng
I-
_-
State of Oklahoma
~S261
Rovise-02007
YeafEhdiri'~'{
12131/2007
Identification Number 0 Corporation Name of Rural Small Business Capital Company _M_e_t_aM_a_rk_e_ls_O_K_,_l_-L_C
Address.
o PartnershIp
Zip
':J LLC
_ _
City
........;.
Slate
Investor's Name·
1) 2)
MGH IfW!l5trncnt Fund ll
--.
Ll.C
LLC
Fund lLC Fund LlC
..','
.-';-W:~.~f.nV ·.;f!J~$.~hfiliuJ~s
.. ::nOte'on'back) .
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-," '~Jh:~m~!titi:t'o" ( .
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... ~ ..
...
10,000,000 5,045,000
liP Devetopmera,
Patriot
3~
Golf Inveslment
2,993,334
1,995,000
4)
AHeM lnvestrnant
1)
MCH
lnvestmenC
Fund U lLC
Fund
18.323.45tl
2)
3)
LlC
5,986,666 3,9m1,OOO
1)
2)
See Attacheo
Schodule
3) . ... . this Information return, including enclosures, must be filed tJy April 30th.
• •
'.
Under penalties of perjury, I declare that r have examined this return. Including accompanyIng statements, and to the best 01 my knowledge
Officer, G'(fWr(l{Partner or MembElf Onto is not required to give actual notice to taxpayer of changes In any state tax law.
Schedule C
c.
Name of Business Invested In
1). Muskogee Community HospltalllC 2). Patriot Golf Course LLC 3). Advance Research Chemicals & Manufacturing lLC 4). ParFab, Inc.
Business
Investment Investment
Invested
10,000,000
2,993,334
1,995,000 5,045,000
State of Oklahoma
~5261
Aevi-wtl2007
DLLC _
$14,350,000
2)
3}
4)
~----~--------~-------------------+-------~,------+-------+-------,
1)
2)
3)
~------------~-------r---------+--------r-----~------+------4
2) 3)
co X LLC
must be filed by April 30th. I to the best of my knowledge
This information
return, Includlnq
enclosures,
Under penalnes of pe~ury, r declare that I h"' ,and ballef it is true, correct and complete,
The Oklahoma
~r, General P'artneror M(J/Ilber Tax Commission Is not required to give actual notice to taxpayer of changes in any state tax: law.
. Slate of OIdahoma
IIIIIIIIIIIIIIIIE
CAPITAL COMPANY
12/3112007
INFORMATION REPORT
~5261
RaWled ?fXfl
o Partnership
Zip
true
_
Address. Cffy
$14,450.000
2)
3) 4)
.D.
r---------------+-------------------;------
1) 2) 3)
1)
13,490.000 960,000
2) 3)
co X uc
tax law.
Date
State of Oklahoma
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""~'''''''-'''''''''·,.·'''o!'II;"",;""-"","""",~,"",,,' ...a'''.'''''''J\'''~'~~''""T ..='''""~"w"",.... .• ';~mt;'<'''~ . ",, ~ 12{31/2007
INFORMATION REPORT
~5261
Revised 2007
Idenf1flcaUon Number 0 Corporation 0 Partnership Name of Rural Small Business Capital Company Oak Hills Capital Company LlC·Serjes B
Cl LtC
1) 2)
$250,000.00
$250,000.00
3)
'1}
2)
3)
1) UJUmate Equipment
2)
X, lLC
$250,000.00 $250.000.00
includlng.enclosures}
...·.·.:.c,.,·:'" ~':,<' .
Under penalties 01 perjury, I declare that J h~ and belief it is true, correct and complete.
I
!Jam
......
_..
The Oklahoma Tax Commission Is not requfr&.dto give actual notice to taxpayer of changes In any state tax law.
State of Oklahoma
,',\ 1111~1111111111111~111~lil[li~II~III.~11111111
~5261
R{lvlsod 2001
o Partnership
~,
DlLC
__
_.:
1)
MCH IIwes!men(
Fund 11,Lt.C
$15,OOO,OO(),OO
2) 3)
ssso.ooo.oo
$~5AOO,OOO_OO
POrooV Oulltoor
Investtoonts, Lt.
1) 2)
3}
$65O,OQO
Under penalties of perjury, I declare that I t and baUer It Is true, correct and complete,
The Oklahoma Tax CommissIon Is not r~qulred to give aotual notlce to taxpayer of ohanges In any slate tax law.
Attachment A to 2007 Form 526 for REI New Markets Investment, LLC
(4)
.$2,&16,005.00
(5)(a)
$5,000,000.00
L.L.C.
.Poteau Tiger Investments, L.L.C. Poteau Tiger Investments, L.L.C. Crain Investment $3,000,000.00
(5)(b)
(5)(c)
$9,530,000.00
(6)
LLC
Fund,
$8,386,000.00
Attachment B to 2007 Form 526 for REI New Markets Investment, LLC
(3)
Lindmark
Advertising, LLC
Outdoor
$45,400,000
(4)
$2,816,005
(5)(a)
$5,000,000
(5)(b)
L.L.C. (5Xc)
$3,000,000
$9,530,000
(6)
$8,386,000
State of Oklahoma
__
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o:".:*!l.":.Ir.~~
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~52161
Rovised 2007
c._.:, ,"_.•_
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0 Corporalion
Capital Company_T_e_rc_e_t P~a_rt_n_e_rs.:.., _L._L_.C_.
o Partnership
-..,-
OLLC ~_-
1) See State-men!1
1,982.817.62
1)
See Slatemenl1
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