Application For Certificate Of Registration For A Limited Liability Company - Iowa Secretary Of State - 2001
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1CHESTER J. CULVER
LIMITED LIABILITY COMPANY
Secretary of State
Application for
Certificate of Registration
State of Iowa
READ INSTRUCTIONS ON REVERSE BEFORE COMPLETING
Pursuant to section 1402 of the Iowa Limited Liability Company Act , the undersigned applies for a certificate of
registration to transact business in Iowa and hereby states:
1.
The name of the limited liability company: ______________________________________________
1a.
The name the limited liability company will use in Iowa, if different than the legal name of the
company named above: ___________________________________________________________
2.
The limited liability company is formed under the laws of the state (or foreign country) of:
________________________________________________________________________
3.
The date of formation of the limited liability company: _____________________________________
4.
The street address of its registered office in Iowa and the name of its registered agent at that office:
___________________________________________________________________
Name
___________________________________________________________________
Address
___________________________________________________________________
City
State
Zip Code
The registered office and registered agent comply with the requirements of section 490A.501.*
5.
The address of the office required to be maintained in the state of its formation by the law of that state
(if such an address is not required, the address of the principal office of the limited liability company):
___________________________________________________________________
Address
___________________________________________________________________
City
State
Zip Code
6.
The effective date and time of this application, if different than the date and time of filing:
(
Refer to instruction #5 on the back of this form)
Date ______________________________________________
Time ______________________
7.
A copy of the articles of organization, duly authenticated by the official having custody of corporate records
in the state or country of formation, accompanies this application.
8.
Signature ___________________________________________ Date ______________________
Type or print name and title _________________________________________________________
635_0010
06/01
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