Form Ll0005 - Application For Registration Of A Foreign Limited Liability Company 2010

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1. The company name
APPLICATION FOR REGISTRATION
must contain an ending
which may be “limited
OF A FOREIGN LIMITED LIABILITY COMPANY
liability company,”
Pursuant to A.R.S. §29-802
“limited company,” or
the abbreviations
“L.L.C.”, “L.C.”, “LLC”
1.
The name of the foreign limited liability company is:
or “LC”. If you are the
holder or assignee of a
____________________________________________________________________
trade name, attach a
copy of the trade name
certificate. If your
name is not available
1. a.
If the exact name of the foreign limited liability company is not available for use in this
for use in Arizona, you
state or does not meet the requirements of A.R.S. § 29-602, then the fictitious name
must adopt a fictitious
adopted for use by the limited liability company in Arizona is:
name and provide a
resolution adopting the
____________________________________________________________(FN)____
fictitious name. The
resolution must be
signed by a member or
by a manager,
2.
The company is organized under the laws of: ________________________________
whichever is
(State or Country)
applicable.
2. Provide the name of
3.
The date of the company’s formation is: ____________________________________
the state or country
under whose laws your
company was formed.
4.
The purpose of the company or the general character of business it proposes to
3. Provide the date on
transact in Arizona is:
which your company
____________________________________________________________________
was formed or
organized in the state
____________________________________________________________________
or country of formation.
4. Provide the general
5.
The name and street address of the statutory agent for the foreign limited liability
character of business
company in Arizona is:
you plan to transact in
____________________________________________________________________
Arizona.
____________________________________________________________________
5. The statutory agent
must provide a street
address. If statutory
____________________________________________________________________
agent has a P.O. Box,
then they must
also provide a street
ACCEPTANCE OF APPOINTMENT BY STATUTORY AGENT
address/location.
The agent must
I,
, having been designated to act as
consent to the
(print name)
appointment by signing
statutory agent, hereby consent to act in that capacity until removed or resignation is submitted
the consent.
in accordance with the Arizona Revised Statutes.
_____________________________________________
Signature
_____________________________________________
If signing on behalf of a company, print company name here
LL:0005
Arizona Corporation Commission
Rev. 04/2010
Page 2 of 3
Corporations Division

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