Form Llc-1055 - Amended Application For Registration As A Foreign Llc
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1COMMONWEALTH OF VIRGINIA
STATE CORPORATION COMMISSION
Print Form
LLC-1055
AMENDED APPLICATION FOR REGISTRATION AS A
(07/13)
FOREIGN LIMITED LIABILITY COMPANY
The undersigned, on behalf of the foreign limited liability company set forth below, pursuant to § 13.1-1055
of the Code of Virginia, states as follows:
1. The name of the foreign limited liability company, as it currently appears on the records of the State
Corporation Commission, is
______________________________________________________________________________
______________________________________________________________________________.
2. The company's application for a certificate of registration to transact business in Virginia is
amended as follows:
(a)
The name of the limited liability company has been changed to
__________________________________________________________________________
__________________________________________________________________________.
(b)
If the new name of the limited liability company is not available or does not comply with the
requirements of Virginia law, the designated name adopted by the limited liability company for
use in Virginia is
__________________________________________________________________________
__________________________________________________________________________.
(c)
The state or other jurisdiction of formation has been changed to _______________________
and/or the date of formation is corrected to _______________________________________.
(d)
Any other amendments or changes to matters stated or described in the application for registration:
__________________________________________________________________________
__________________________________________________________________________
Signed in the name of the foreign limited liability company by:
________________________________________________
_____________________________
(signature of authorized person)
(date)
________________________________________________
_____________________________
(printed name)
(title (e.g., manager or member))
________________________________________________
_____________________________
(limited liability company’s SCC ID no.)
(telephone number (optional))
See Instructions for signing requirements.
Personal Information, such as a social security number, should NOT be included in a business entity document submitted to the Office of the Clerk for
filing with the Commission. For more information, see Notice Regarding Personal Identifiable Information at
REVIEW THE INSTRUCTIONS THAT FOLLOW BEFORE SUBMITTING THIS FORM.
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