Form Llc-1 - Certificate Of Formation, Form Sra - Addendum To Business Organization And Registration Forms Page 2
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5State of New Hampshire
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Filing fee:
$50.00
Form LLC-1
Fee for Form SRA: $50.00
RSA 304-C:31
Total fees
$100.00
Use black print or type.
CERTIFICATE OF FORMATION
NEW HAMPSHIRE LIMITED LIABILITY COMPANY
THE UNDERSIGNED, under the New Hampshire Limited Liability Company Laws submits the following
certificate of formation:
FIRST: The name of the limited liability company is
.
SECOND: The nature of the primary business or purposes are
.
THIRD: The name of the limited liability company's registered agent is
and the street address, town/city (including zip code and post office box, if any) of its registered office is
(agent's business address)
.
FOURTH: The latest date on which the limited liability company is to dissolve is
.
FIFTH: The management of the limited liability company
vested in a manager or
managers.
SIXTH: The sale or offer for sale of any ownership interests in this business will comply with the
requirements of the New Hampshire Uniform Securities Act (RSA 421-B).
*Signature:
Print or type name:
Title:
(Enter "manager" or "member")
Date signed:
To receive your ANNUAL REPORT REMINDER NOTICE by email, please enter your email address here:
.
*Must be signed by a manager; if no manager, must be signed by a member.
DISCLAIMER: All documents filed with the Corporation Division become public records and will be available for
public inspection in either tangible or electronic form.
Mail fees, DATED AND SIGNED ORIGINAL AND FORM SRA to: Corporation Division, Department of State, 107
rd
North Main Street, Concord NH 03301-4989. Physical location: 25 Capitol Street, 3
Floor, Concord, NH 03301.
Form LLC-1 (1/2013)
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