Transmittal Form Georgia Llc Sample Page 2
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5OFFICE OF SECRETARY OF STATE
CORPORATIONS DIVISION
2 Martin Luther King Jr. Dr. SE
Suite 313 West Tower
Atlanta, Georgia 30334
(404) 656-2817
sos.ga.gov
Brian P. Kemp
Secretary of State
TRANSMITTAL FORM
GEORGIA LIMITED LIABILITY COMPANY
NOTICE TO APPLICANT: PRINT PLAINLY OR TYPE REMAINDER OF THIS FORM
1.
LLC Name Reservation Number (If one has been obtained; if articles are being filed without prior reservation, leave this line blank.)
LLC Name (List exactly as it appears in articles.)
2.
Name of Person Filing Articles of Organization (Certificate will be emailed to this person at address listed below.)
Address
City
State
Zip Code
Email Address
Telephone Number
3.
Principal Office Mailing Address of LLC (Unlike registered office address, this may be a post office box.)
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City
State
Zip Code
4.
Name of LLC’s Registered Agent in Georgia
Registered Office Street Address in Georgia (Post office box or mail drop not acceptable for registered office address.)
GA
City
County
State
Zip Code
Email Address
5.
Name and Address of Each Organizer (Attach additional sheets if necessary.)
Organizer
Address
City
State
Zip Code
Organizer
Address
City
State
Zip Code
6.
Mail the following items to the Secretary of State at the above address:
1)
This transmittal form;
2)
The Articles of Organization; and
3)
Filing fee of $100.00 payable to Secretary of State. Filing fees are non-refundable.
I understand that the information on this form will be entered in the Secretary of State business entity database, and I certify that the above
information is true and correct to the best of my knowledge.
Signature of Authorized Person
Date
Print name
Title
Request certificates and obtain entity information via the Internet: sos.ga.gov
FORM 231
(Rev. 4/2016)
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