Form 450 - Application For Registration Foreign Limited Liability Company

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State of Rhode Island and Providence Plantations
Department of State - Business Services Division
Application for Registration
STAMP
FOREIGN Limited Liability Company
Filing Fee: $150.00
FOR
SECRETARY OF STATE
USE ONLY
Pursuant to the provisions of RIGL
7-16-49,
the undersigned foreign limited liability company hereby
applies for a Certificate of Registration to transact business in the state of Rhode Island, and for that
purpose submits the following statement:
1. The name of the limited liability company is:
Is this company organized in its state or country of formation as a low-profit limited liability company? Yes
No
The name, if different, under which it proposes to register and transact business in Rhode Island is:
2. The LLC is organized under the laws of:
3. The date of its organization is:
And the period of its duration is: CHECK ONLY ONE BOX
Perpetual (on-going)
Date certain for dissolution ___________________________________________________
4. The name and address of the resident agent/office in Rhode Island is:
Agent Name
Street Address (NOT a P.O. Box)
City/Town
State
Zip Code
RHODE ISLAND
5. The Department of State is appointed the agent of the foreign limited liability company for service of process if at any
time there is no resident agent or if the resident agent cannot be found or served following the exercise of reasonable
diligence.
6. The address of any office required to be maintained in the state or other jurisdiction under the laws of which the limited
liability company is organized is:
STAMP
MAIL TO:
Division of Business Services
148 W. River Street, Providence, Rhode Island 02904-2615
FOR
Phone: (401) 222-3040
SECRETARY OF STATE
USE ONLY
Website:
FORM 450 - Revised: 08/2016

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