Form Dfi/corp/521 - Foreign Limited Liability Company - Certificate Of Registration Application

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FILING FEE
See Page 2
for filing fee
OPTIONAL EXPEDITED
+ $25.00
SERVICE
DO NOT STAPLE
State of Wisconsin
Sec. 183.1004
DEPARTMENT OF FINANCIAL INSTITUTIONS
& 183.1006
Wis. Stats.
Division of Corporate & Consumer Services
FOREIGN LIMITED LIABILITY COMPANY - CERTIFICATE OF
REGISTRATION APPLICATION
Indicate (X) below if the application is for a (A) ORIGINAL or (B) for an AMENDED certificate.
2.
State or
1.
ORIGINAL certificate of registration
Country of
Name of limited liability company
Organization
A
OR
2.
State or
1.
AMENDED certificate of registration (If changed, enter the new name or
Country of
new state or country of organization. Also, enter the old name in section A
Organization
above, and complete all other items, except item 8.
Name of limited liability company
B
If the company’s name does not satisfy sec. 183.0103(1) and (2), Wis. Stats., provide the fictitious
name under which it proposes to register and transact business in Wisconsin. (See instructions)
C
3.
Name of Registered Agent in Wisconsin
4.
Street Address of Registered Office in Wisconsin
City
State
Zip Code
WI
5.
Address of Office
(Complete address, including street & number, city, state and ZIP code, of the
office the company is required by law to maintain in its state of organization. If no such office is required,
provide the address of the company’s principal office.)
Address
PO Box
City
State/Province
Country
Zip/Postal Code
6.
Date of Organization:
DFI/CORP/521 (04/15)
1

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