Wyoming Secretary of State
State Capitol Building, Room 110
th
200 West 24
Street
For Office Use Only
Cheyenne, WY 82002-0020
Ph. 307.777.7311
Fax 307.777.5339
Email: Business@wyo.gov
Foreign Limited Liability Company
Application for Certificate of Authority
Pursuant to W.S. 17-16-1533 of the Wyoming Business Corporation Act, the undersigned company hereby applies for
a Certificate of Authority to transact business in the state of Wyoming, and for that purpose submits the following
statement:
1. Name of the limited liability company as organized:
2. Organized under the laws of:
(State or country of organization)
3. Date of organization:
(Date – mm/dd/yyyy)
4. Period of duration:
(This is referring to the length of time the limited liability company intends to exist and not the length of time it has been in existence. The
most common term used is “perpetual.” You may refer to your Articles of Organization or contact the Corporations Division in your state of
organization for your period of duration.)
5. Mailing address of the limited liability company:
6. Principal office address:
7. Name and physical address of its registered agent:
(The registered agent may be an individual resident in Wyoming, a domestic or foreign entity authorized to transact business in Wyoming,
having a business office identical with such registered office. The registered agent must have a physical address in Wyoming. A Post Office
Box or Drop Box is not acceptable. If the registered office includes a suite number, it must be included in the registered office address.)
FLLC-CertificateAuthority - Revised 11/2012