Instructions For Completing Form Llc-12 - Statement Of Information (Page 2 of 4) in pdf

If you are not completing this form online, please type or print legibly in black or blue ink. Complete the Statement of

Information (Form LLC-12) as follows:

Item

Instruction

Tips

Enter the name of the limited liability company

• Some foreign LLCs may have registered using an alternate name.

exactly as it appears on file with the California

Secretary of State, including the entity ending (ex:

“Jones & Company, LLC” or “Smith Construction,

a Limited Liability Company”).

• The 12-digit file number is provided by the Secretary of State

Enter the 12 digit file number issued by the

above the file stamp at the top of the LLC’s formation/registration

California Secretary of State.

document filed with the California Secretary of State.

• To ensure you have the correct file number and exact name of the

LLC, look to your formation/registration document filed with the

California Secretary of State and any name change amendments.

• Secretary of State Records can be accessed online through our

Business Search at kepler.sos.ca.gov. While searching the

Business Search, be sure to identify your entity correctly including

the jurisdiction that matches your entity.

If formed outside of California, enter the state or

• The jurisdiction must match the Secretary of State’s records.

place where the LLC was organized.

• The jurisdiction of record with the Secretary of State can be

researched online through our Business Search at

kepler.sos.ca.gov.

4a.

Enter the complete street address, city, state and

• Street address is required. Do not enter a P.O. Box address or

zip code of the LLC’s principal office.

abbreviate the name of the city.

4b.

Enter the complete mailing address, city, state

• This address will be used for mailing purposes and may be a P.O.

and zip code of the LLC if different from Item 4a.

Box.

4c.

If the LLC was formed in California, enter the

• If Item 4a. is an address in California leave blank and proceed to

complete street address, city and zip code of the

Item 5.

office in California, if different from Item 4a.

• Do not enter a P.O. Box address or abbreviate the name of the

city.

If the LLC was formed outside of California, enter

the complete street address, city and zip code of

the principle business office in California, if any.

Enter the name and complete business or

• If the LLC has more than one manager or member, enter the

residential address of any manager(s), appointed

name(s) and addresses of the additional mangers or members on

or elected in accordance with the Articles of

Form LLC-12A available at

bpd.cdn.sos.ca.gov/llc/forms/llc-

Organization or Operating Agreement, or if no

12a.pdf.

manager(s) has been so elected or appointed, the

• Please do not abbreviate the name of the city.

name and business or residential address of each

• Review your Articles of Organization, or any amendments thereto,

member.

to determine if the LLC is run by a single manager, more than one

manager or by its member(s).

• Every LLC is required to have at least one manager/member.

• A member(s) is the owner of the LLC similar to a shareholder(s) in

a corporation.

If Individual Agent: Enter the name and street

6a & b.

• An Agent for Service of Process is responsible for accepting legal

address of the individual agent for service of

documents (e.g. service of process, lawsuits, subpoenas, other

process in California.

types of legal notices etc.) on behalf of the LLC.

• There are two types of Agents that can be named:

If an individual is designated as the agent,

- an individual (manager, member or any other individual) who

complete Items 6a and 6b and proceed to Item

resides in California with a physical California street address; or

7, leaving Item 6c blank.

- a registered corporate agent qualified with the California

Secretary of State

• Many times, a small LLC will designate a member or manager as

the agent for service of process.

• The individual agent should be aware that the name and the

physical street address of the agent for service of process is a

public record, open to all (as are all the addresses of the LLC and

its managers or members named in the filings.)

Instructions

2016 California Secretary of State

LLC-12 -

(REV 07/2016)

Instructions For Completing Form Llc-12 - Statement Of Information Page 2

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