Form Llc-5 - Application Form To Register A Foreign Limited Liability Company (Llc)

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Application to Register a Foreign
LLC-5
Limited Liability Company (LLC)
To register in California an LLC from another state, country or other
place, fill out this form, and submit for filing along with:
– A $70 filing fee, and
– A certificate of good standing, issued within the last six (6) months
by the agency where the LLC was formed.
– A separate, non-refundable $15 service fee also must be included, if
you drop off the completed form.
Important! LLCs in California may have to pay a minimum $800 yearly
tax to the California Franchise Tax Board. For more information, go to
https://
Registered LLCs cannot provide in California "professional services," as
defined by California Corporations Code sections
13401(a)
and 13401.3.
This Space For Office Use Only
For questions about this form, go to
LLC Name to be used for this LLC in California
a.
___________________________________________________________________________________________________________________________________________
LLC Name
List the LLC name you use now (exactly as listed on your certificate of good standing)
b.
___________________________________________________________________________________________________________________________________________
Alternate Name
If the LLC name in Item 1a does not comply with California Corporations Code section 17701.08; list
an alternate name to be used in California exactly as it is to appear on the records of the California
Secretary of State. The alternate name must include: LLC, L.L.C., Limited Liability Company, Limited
Liability Co., Ltd. Liability Co. or Ltd. Liability Company; and may not include: bank, trust, trustee,
incorporated, inc., corporation, or corp., insurer, or insurance company. For general entity name
requirements and restrictions, go to
LLC History
a. Date your LLC was formed (MM, DD, YYYY):
______________________________________________________________________________________
b. State, country or other place where your LLC was formed:
______________________________________________________________________
c. Your LLC currently has powers and privileges to conduct business in the state, country or other place listed above.
Service of Process
(List a California resident or a California registered corporate agent that agrees to be your initial agent to accept service of
process in case your LLC is sued. You may list any adult who lives in California. You may not list an LLC as the agent. Do not list an address if the
agent is a California registered corporate agent as the agent's address for service of process is already on file.)
a.
_____________________________________________________________________________________________________________________________________________
Agent's Name
CA
b.
_____________________________________________________________________________________________________________________________________________
Agent's Street Address (if agent Is not a corporation) - Do not list a P.O. Box
City (no abbreviations)
State
Zip
If the agent listed above has resigned or cannot be found or served after reasonable attempts, the California
Secretary of State will be appointed the agent for service of process for your LLC.
LLC Address es
a.
_____________________________________________________________________________________________________________________________________________
S
treet Address of Principal Executive Office - Do not list a P.O. Box
City (no abbreviations)
State
Zip
CA
b.
_____________________________________________________________________________________________________________________________________________
S
treet Address of Principal Office in California, if any - Do not list a P.O. Box
City (no abbreviations)
State
Zip
c.
_____________________________________________________________________________________________________________________________________________
Mailing Address of Principal Executive Office, if different from 4a or 4b
City (no abbreviations)
State
Zip
Read and sign below:
I am authorized to sign this document under the laws of the state, country or other place where this LLC was formed.
______________________________________________________________________
___________________________________________
____________________________
Sign here
Print your name here
Your business title
Make check/money order payable to: Secretary of State
By Mail
Drop-Off
Upon filing, we will return one (1) uncertified copy of your filed
Secretary of State
Secretary of State
document for free, and will certify the copy upon request and
Business Entities, P.O. Box 944228
1500 11th Street., 3rd Floor
payment of a $5 certification fee.
Sacramento, CA 94244-2280
Sacramento, CA 95814
Corporations Code §§ 17701.04, 17701.08, 17708.02, Revenue and Taxation Code §
17941
2014 California Secretary of State
LLC-5 (REV 01/2014)
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