Form Dfi/corp/521 - Foreign Limited Liability Company - Certificate Of Registration Application Page 3

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FOREIGN LIMITED LIABILITY COMPANY -

CERTIFICATE OF REGISTRATION APPLICATION

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▲ Enter your return address within the brackets above.

____________

Phone number during the day: (

) ______ -

INSTRUCTIONS (Continued)

7. Indicate whether management of the company is vested in a manager or managers, or in

its members.

8. Indicate whether the company has transacted business in Wisconsin without holding a

certificate of registration. If the response is “Yes”, indicate the period by inserting the date

range that the company was transacting business without a certificate of registration.

Example: January 1, 2000 to March 5, 2005. Complete the supplement and compute the

filing fee under the supplement.

9. Determine the FILING FEE from item 9 and remit the fee by check payable to

“Department of Financial Institutions.”

10. The application is to be certified as required by sec. 183.1004(7) and executed by either

a member or a manager of the company. Print or type the name of the person signing the

application, the date, and indicate whether signing as a member or as a manager.

NOTE: Foreign limited liability companies have an annual report filing obligation with the

Department. Report forms will be mailed by the department to the company’s registered

agent and office in Wisconsin. Due date for the report is March 31.

DFI/CORP/521 (04/15)

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