Form Pllc-1 - Certificate Of Formation New Hampshire Professional Limited Liability Company, Form Sra - Addendum To Business Organization And Registration Forms Page 2

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State of New Hampshire
Print
Reset
Filing fee:
$50.00
Form PLLC-1
Fee for Form SRA: $50.00
RSA 304-C:12
Total fees:
$100.00
& RSA 304-D
Use black print or type.
Form must be single-sided, on 8½” x 11” paper;
double sided copies will not be accepted.
CERTIFICATE OF FORMATION
NEW HAMPSHIRE PROFESSIONAL LIMITED LIABILITY COMPANY
THE UNDERSIGNED, UNDER THE NEW HAMPSHIRE LIMITED LIABILITY COMPANY LAWS
SUBMITS THE FOLLOWING CERTIFICATE OF FORMATION:
FIRST: The name of the professional limited liability company is
.
SECOND: The nature of the primary business or purposes are
.
THIRD: The name of the professional limited liability company's registered agent is
and the street address, town/city (including zip code and post office box, if any) of its registered office is
(agent's business address)
.
FOURTH: The latest date on which the professional limited liability company is to dissolve is
.
FIFTH: The management of the professional limited liability company
vested in a manager or
managers.
SIXTH: The sale or offer for sale of any ownership interests in this business will comply with the
requirements of the New Hampshire Uniform Securities Act (RSA 421-B).
*Signature:
Print or type name:
Title:
(Enter "manager" or "member")
Date signed:
*Must be signed by a manager; if no manager, must be signed by a member.
DISCLAIMER: All documents filed with the Corporate Division become public records and will be
available for public inspection in either tangible or electronic form.
Mail fees, DATED AND SIGNED ORIGINAL AND FORM SRA to: Corporate Division, Department
of State, 107 North Main Street, Concord NH 03301-4989.
5/07
PLLC-1 V-1.0

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