110 - Application For Authority To Transact Business - Foreign Limited Liability Company - Oregon Secretary Of State
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1Application for Authority to Transact Business - Foreign Limited Liability Company
Secretary of State - Corporation Division - 255 Capitol St. NE, Suite 151 - Salem, OR 97310-1327 - - Phone: (503) 986-2200
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R
N
:
EGISTRY
UMBER
For office use only
In accordance with Oregon Revised Statute 192.410-192.490, the information on this application is public record.
We must release this information to all parties upon request and it will be posted on our website.
For office use only
Please Type or Print Legibly in Black Ink. Attach Additional Sheet if Necessary.
N
:
1)
AME
NOTE:
(Must contain the words “Limited Liability Company” or the abbreviations “LLC” or “L.L.C.”) Must be identical
to the name of record in home jurisdiction.
2) R
N
H
J
7)
R
A
'
P
A
A
:
EGISTRY
UMBER IN
OME
URISDICTION
EGISTERED
GENT
S
UBLICLY
VAILABLE
DDRESS
(Must be an Oregon Street Address, which is identical to the registered agent’s
OR:
C
E
(A
)
ERTIFICATE OF
XISTENCE
TTACHED
business office.)
(Please provide a web-verifiable registry number from the entity’s home
jurisdiction. Certain states, such as Delaware and New Jersey, do not provide
status information online. Entities from such places must instead attach an
official certificate of existence, current within 60 days of delivery to this office.)
3)
8)
D
O
:
D
,
P
:
A
P
O
B
:
DDRESS OF
RINCIPAL
FFICE OF THE
USINESS
ATE OF
RGANIZATION
URATION
IF NOT
ERPETUAL
4)
S
C
O
:
9)
A
W
D
M
M
N
:
TATE OR
OUNTRY OF
RGANIZATION
DDRESS
HERE THE
IVISION
AY
AIL
OTICES
5)
T
HIS FOREIGN LIMITED LIABILITY COMPANY SATISFIES THE
10)
H
W
T
L
L
C
B
M
?
OW
ILL
HIS
IMITED
IABILITY
OMPANY
E
ANAGED
ORS 63.714(3).
REQUIREMENTS OF
6)
N
O
R
A
:
AME OF
REGON
EGISTERED
GENT
This LLC will be member-managed by one or more members.
This LLC will be manager-managed by one or more managers.
11)
E
:
XECUTION
(At least one member or manager must sign.)
By my signature, I declare as an authorized authority, that this filing has been examined by me and is, to the best of my knowledge and belief, true,
correct, and complete. Making false statements in this document is against the law and may be penalized by fines, imprisonment or both.
Signature:
Printed Name:
Title:
C
N
:
FEES
ONTACT
AME
(To resolve questions with this filing.)
Required Processing Fee
$275
Processing Fees are nonrefundable.
Please make check payable to “Corporation Division.”
P
N
:
HONE
UMBER
(Include area code.)
Free copies are available at , using the Business Name Search program.
110 - Application for Authority to Transact Business - Foreign Limited Liability Company (03/12)
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