Limited Liability Company Annual Report Form - The Commonwealth Of Massachusetts
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The Commonwealth of Massachusetts
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Room 1717, Boston, Massachusetts 02108-1512
Limited Liability Company Annual Report
(General Laws Chapter 156C, Section 12)
Federal Identification No.: _____________________________
Year: ____________________
(1a) The exact name of the limited liability company:
________________________________________________________________________________________________
(1b) The exact name of the limited liability company as amended:
________________________________________________________________________________________________
(2a) Location of its principal office:
________________________________________________________________________________________________
(2b) The street address of the office in the commonwealth at which its records will be maintained:
(3) The general character of the business:
________________________________________________________________________________________________
(4) Latest date of dissolution, if specified: ___________________________________________________________________
(5) The name and street address of the resident agent in the commonwealth:
(6) The name and business address of each manager, if any:
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