Form Llf-1 - Application For Certificate Of Authority Of Limited Liability Company Page 2
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2W. VA. APPLICATION FOR CERTIFICATE OF AUTHORITY OF LTD. LIABILITY CO.
Page 2
member-managed.
[List the names and addresses of all members
.
8
The Company is:
who have signature authority, attach extra page if needed]
manager-managed.
[List the names and addresses of all managers who have
signature authority, attach extra page if needed]
Name
Address
9.
All or specified members of a limited
NO -- All debts, obligations and liabilities are those of the
liability company are liable in their
company.
capacity as members for all or specified
debts, obligations or liabilities of the
YES -- Those persons who are liable in their capacity as
company.
members for all debts, obligations or liability of the
company have consented in writing to the adoption of
the provision or to be bound by the provision.
10.
The purpose for which this limited liability company is formed are as follows:
(Describe the type(s) of business activity which will be conducted, for example, "real estate," "construction of residential
and commercial buildings," "commercial printing," "professional practice of architecture.")
11.
The number of pages attached and included in this application is _________.
The requested date for the estab-
the date & time of filing
12.
lishment of the limited liability
company in West Virginia is:
the following date _______________ and time _____________
[Requested date may not be earlier than filing nor later than 90 days after filing.]
13.
Enter the number of acres the company desires to hold in West Virginia. If your company holds more than 10,000
acres of land, you must submit a fee of
5¢ for each acre over 10,000.
Contact and Signature Information:
14.
a.Contact person to reach in case there is a problem with filing: __________________________________
Phone #___________________
b. Signature of manager of a manager-managed company, member of a member-managed company, person
organizing the company, if the company has not been formed or attorney-in-fact for any of the above
_____________________________
Name [print or type]
Title/Capacity
Signature
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