Form 521-I - Limited Liability Company Application For Certificate Of Registration Information And Instructions

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State of Wisconsin
DEPARTMENT OF FINANCIAL INSTITUTIONS
Division of Corporate & Consumer Services
Foreign Limited Liability Company
521-I
Application for Certificate of Registration
FORM
INFORMATION AND INSTRUCTIONS
This form is required to file an application for certificate of registration for a foreign limited liability company (“LLC”), unless you file
online. Please note that this form contains only the minimal information required by
s. 183.1004 Wis.
Stats., and may not meet every
LLC’s needs. Department staff cannot provide legal advice regarding this matter.
Upon receipt of this document, the department shall stamp or otherwise endorse the date of receipt on the original. The department
may return an acknowledgement copy as confirmation of the date of receipt.
INSTRUCTIONS:
1. Enter the name of the foreign limited liability company. The name of a limited liability company must contain the words “limited
liability company” or “limited liability co.” or end with the abbreviation “L.L.C.” or “LLC” If the company’s name does not satisfy
s. 183.0103(1)
and (2), Wis. Stats., the foreign limited liability company must obtain a certificate of registration to transact business
in Wisconsin under a fictitious name that is available and that satisfies s. 183.0103(1) and (2). You can check to see if your name is
available here:
(Name Availability
search), if you find your legal name is not available you must enter a fictitious
name.
2. Enter the state or other jurisdiction under whose laws you are organized.
3. Enter the date of organization in the above state or other jurisdiction under whose laws you are organized.
4. Enter the name of its registered agent in Wisconsin. The registered agent shall be any of the following:
INDIVIDUALS: An individual who resides in the State of Wisconsin and whose business office is identical with the registered office.
DOMESTIC ENTITIES: A domestic corporation, domestic limited liability company or a nonstock, nonprofit corporation, incorporated,
or organized in the State of Wisconsin, whose business office is identical with the registered office.
FOREIGN ENTITIES:
A foreign corporation or a foreign limited liability company authorized to transact business in the State of
Wisconsin, whose business office is identical with the registered office.
5. Enter the street address of its registered office in Wisconsin.
6. Enter the street address of office:
Required to be maintained in the state or other jurisdiction of the organization by the laws of that state or jurisdiction or, if no office is
required, its principal office. Ref.
s. 183.1004(6)
7. Management of the foreign limited liability company is vested in one or more managers. Please check yes or no.
8. Has the company transacted business in Wisconsin without holding a certificate of registration? If no your basic registration fee is
$100.00. If yes please give the year you started doing business in Wisconsin and complete the SUPPLEMENT section, see next page
for example. Ref.
s. 183.1003 Wis. Stats.
9. A statement that the applicant is a foreign limited liability company. Please check yes or no.
10. Enter the date the application for certificate of registration was executed, and check the appropriate box to identify the person
who executed this document. This document shall be executed by a manager, if management of the limited liability company is
vested in a manager or managers, or any member, if management of the limited liability company is reserved to the members. The
person executing the document shall sign it and state the capacity in which the person signs. The person executing the document
may do so as an attorney-in-fact. Powers of attorney relating to the execution of the document do not need to be shown to or
filed with the department.
DFI/CORP/FORM 521-I (10/15)
Page 1

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