Decennial Report - Maintaining Llc Page 2
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2DSCB:54-503–Instructions
Pennsylvania Department of State
Bureau of Corporations and Charitable Organizations
P.O. Box 8722
Harrisburg, PA 17105-8722
(717) 787-1057
Web site:
Instructions for Completion of Form:
A. Typewritten is preferred. If handwritten, the form shall be legible and completed in black or blue-black ink in
order to permit reproduction. The nonrefundable filing fee for this form is $70 made payable to the Department
of State. Checks must contain a commercially pre-printed name and address.
Enter the name and mailing address to which any correspondence regarding this filing should be sent. This field
must be completed for the Bureau to return the filing. If the filing is to be returned by email, an email address
must be provided. An email will be sent to address provided, containing a link and instructions on how a copy of
the filed document or correspondence may be downloaded. Any email or mailing addresses provided on this form
will become part of the filed document and therefore public record.
B. Enter the entity name as identified in the records of the Department of State in Item 1. If the name has been
changed, an Amendment form must be filed separately to effect this change on the Department’s records.
C. Enter the registered office as identified in the records of the Department of State in Item 2. If the address has
been changed, the current registered office or Commercial Registered Office Provider and County of Venue
should be identified in Item 3. Under 15 Pa.C.S. § 135(c) (relating to addresses), an actual street or rural route
box number must be used as an address, and the Department of State is required to refuse to receive or file any
document that sets forth only a post office box address.
D. In accordance with 54 Pa.C.S. § 503(b), no filing of this form is required if the association has made any filing
in the Department from January 1, 2002 through December 31, 2011, other than a decennial report, application
for registration of fictitious name, consent to appropriation of name, name searches or name reservations.
Additionally, no filing of this form is required if the association has had officer information forwarded to the
department by the Department of Revenue from January 1, 2002 through December 31, 2011, under 15
Pa.C.S. § 1110 (relating to annual report information).
E. This form and all accompanying documents shall be mailed to the address shown above.
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