Limited Liability Company Certificate Of Organization Form - The Commonwealth Of Massachusetts
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The Commonwealth of Massachusetts
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Limited Liability Company
FORM MUST BE TYPED
FORM MUST BE TYPED
Certificate of Organization
(General Laws Chapter 156C, Section 12(c))
The federal employer identification number, if available:
________________________________________________________
1. The exact name of the limited liability company:
____________________________________________________________
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, and if the limited liability company is organized to render professional service, the service
to be rendered:
________________________________________________________________________________________
4. Latest date of dissolution, if specified:
____________________________________________________________________
5. The name and street address of the resident agent in the commonwealth:
N
AM
e
Addre
SS
____________________________________________________________________________________________________
6. The name and business address of each manager, if any:
N
AM
e
Addre
SS
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
7. The name and business address of each person in addition to manager(s) authorized to execute documents filed with the Corpo
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rations ivision, and at least one person shall be named if there are no managers:
d
N
AM
e
Addre
SS
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
8. The name and business address of each person authorized to execute, acknowledge, deliver and record any recordable instru
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ment purporting to affect an interest in real property recorded with a registry of deeds or district office of the land court:
N
AM
e
Addre
SS
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
9.Additional matters:
___________________________________________________________________________________
Signed by:
___________________________________________________________________________________________ ,
(by at least one authorized signatory)
Consent of resident agent:
I
__________________________________________________________________________________________________ ,
resident agent of the above limited liability company, consent to my appointment as resident agent pursuant to G.L. c 156C § 12*
*or attach resident agent's consent hereto.
c156c512dllccert 08/05/08
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