Form L-09 - Application For Certificate Of Authority For Limited Liability Company

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State 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 organized is: _________________________
3. The date of organization was ____________________________; its period of duration is: _____________________
4. The street address of the principal office of the limited liability company is:
Number and Street _______________________________________________________________________________
City, State, Zip Code _____________________________________________________________________________
5. The mailing address if different from the street address of the principal office of the limited liability company is:
_______________________________________________________________________________________________
6. The street address and county of the registered office in the State of North Carolina is:
Number and Street _______________________________________________________________________________
City, State, Zip Code __________________________________________________ County ____________________
7. The mailing address if different from the street address of the registered office in the State of North Carolina is:
_______________________________________________________________________________________________
8. The name of the registered agent in the State of North Carolina is: _________________________________________
9. The names, titles, and usual business addresses of the current managers of the limited liability company are:
(use attachment if necessary)
Name
Business Address
(Revised August 2000)
(Form L-09)

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