DEPARTMENT OF CONSUMER AND REGULATORY AFFAIRS
BUSINESS AND PROFESSIONAL LICENSING ADMINISTRATION
CORPORATIONS DIVISION
941 NORTH CAPITOL STREET, N.E.
WASHINGTON, D.C. 20002
Government
of the
District of Columbia
APPLICATION FOR CERTIFICATE OF REGISTRATION
FOR A FOREIGN LIMITED LIABILITY COMPANY
Pursuant to the provisions of The District of Columbia Limited Liability Company Act of
1994, Title 29, Chapter 10, of the Code of laws of the District of Columbia, the
undersigned foreign limited liability company hereby applies for a certificate of
registration to transact business in the District of Columbia:
1. The real name of the limited liability company is
________________________________________________________________________
2. (A) If the real name of the limited liability company is available in the District of
Columbia, but does not contain the words, "Limited Liability Company" (or abbreviation
"L.L.C.,") or A "Professional Limited Liability Company" (or abbreviation "P.L.L.C."),
then the name of the foreign limited liability company with the words or abbreviation
which it elects to add thereto for use in the District of Columbia
is:
________________________________________________________________________
Or (B) if the real name is not available in the District of Columbia then set forth the name
under which the foreign limited liability company will qualify and transact business in
the District of Columbia.
________________________________________________________________________
3. The date of its organization is and the period of duration is. (State term of years or
other duration authorized in its home jurisdiction.)
4. The address of its principal office in the state or country under the laws of which it is
organized is:
________________________________________________________________________
5. The address (including street and number, if any, and zip code) of its office required to
be maintained in the state, country or other foreign jurisdiction of it organization or, if not
so required, of its principal office, is:
________________________________________________________________________
6. The address (including street and number, if any, and zip code) of its proposed
registered office in the Columbia (P.O. Box is not sufficient) is
________________________________________________________________________
7. The name of its proposed registered agent in the District of Columbia at such address
is