Form 78a Arts - Application For Registration Of Foreign Limited-Liability Company printable pdf download

DEAN HELLER

Secretary of State

206 North Carson Street

Carson City, Nevada 89701-4299

(

775) 684 5708

Website: secretaryofstate.biz

Application for Registration of

Foreign Limited-Liability Company

(PURSUANT TO NRS 86.544)

Important: Read attached instructions before completing form.

ABOVE SPACE IS FOR OFFICE USE ONLY

1. Name of Foreign

Limited-Liability

Company:

2. Name Being

Registered

with Nevada:

(name under which this

foreign limited- liability

company proposes to

business in Nevada)

3. Entity Domicile:

________________________

_____________________________________

(date and state or country

of formation)

Date Formed

State or Country of Formation

4. Resident Agent

________________________________________________________________________________

Name and Street

Name

Address:

(must be a Nevada

__________________________________________________________, NEVADA ___________

address where process

may be served)

Physical Street Address

City

Zip Code

__________________________________________________________, ________ ____________

Additional Mailing Address

City

State

Zip Code

In the event the above-designated Agent for Service of Process resigns and is not replaced or the agent’s authority has been revoked or the

agent cannot be found or served with exercise of reasonable diligence, then the Secretary of State is hereby appointed as the Agent for Service

of Process.

5. Records Office:

__________________________________________________________, ________ ____________

(see instructions)

Street Address

City

State

Zip Code

6. Street Address of

Principal Office:

(or office required to be

__________________________________________________________, ________ ____________

maintained in the domicile

Street Address

City

State

Zip Code

state by the laws of that state)

7. Names and

Addresses of

________________________________________________________________________________

Each Manager or

Name

Member:

__________________________________________________________, ________ ____________

(attach additional page

Street Address

City

State

Zip Code

if there is more than 1)

8. Name and

Signature of

Manager or

Member

______________________________________

_______________________________________

Name

Signature

9. Certificate of

I hereby accept appointment as Resident Agent for the above named Foreign Limited-Liability Company.

Acceptance of

Appointment of

____________________________________________________

______________________________________

Resident Agent:

Authorized Signature of R.A. or On Behalf of R.A. Company

Date

This form must be accompanied by appropriate fees. See attached fee schedule.

Nevada Secretary of State Form 78A ARTS 2003

Revised on: 10/24/03

Form 78a Arts - Application For Registration Of Foreign Limited-Liability Company

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