Form L-09 - Application For Certificate Of Authority For Limited Liability Company
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1
2State of North Carolina
Department of the Secretary of State
APPLICATION FOR CERTIFICATE OF AUTHORITY
FOR LIMITED LIABILITY COMPANY
§
Pursuant to
57C-7-04 of the General Statutes of North Carolina, the undersigned limited liability company hereby applies for a
Certificate of Authority to transact business in the State of North Carolina, and for that purpose submits the following:
1. The name of the limited liability company is ____________________________________________________________;
and if the limited liability company name is unavailable for use in the State of North Carolina, the name the limited
liability company wishes to use is ______________________________________________________________________
2. The state or country under whose laws the limited liability company was formed is: ______________________________
3. The date of formation was ____________________________; its period of duration is: ___________________________
Principal office information: (Select either a or b.)
4.
a.
The limited liability company has a principal office.
The street address and county of the principal office of the limited liability company is:
Number and Street_________________________________________________________________
City, State, Zip Code___________________________________________County______________
The mailing address, if different from the street address, of the principal office of the corporation is:
________________________________________________________________________________
b.
The limited liability company does not have a principal office.
5. The street address and county of the registered office in the State of North Carolina is:
Number and Street _______________________________________________________________________________
City, State, Zip Code __________________________________________________ County ____________________
if different from the street address,
6. The mailing address,
of the registered office in the State of North Carolina is:
_______________________________________________________________________________________________
7. The name of the registered agent in the State of North Carolina is: __________________________________________
CORPORATIONS DIVISION
P. O. BOX 29622
RALEIGH, NC 27626-0622
(Revised January 2002)
(Form L-09)
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