Form Llf-1 - West Virginia Application For Certificate Of Authority Of Limited Liability Company - 2004

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Penney Barker, Team Leader
Corporations Division
Secretary of State
Tel: (304) 558-8000
WEST VIRGINIA
State Capitol Building
Fax: (304) 558-5758
1900 Kanawha Blvd. East
APPLICATION FOR
Hours: 8:30 a.m. - 5:00 p.m. ET
Charleston, WV 25305-0770
CERTIFICATE OF AUTHORITY
OF LIMITED LIABILITY COMPANY
Control # _ __ __ __ __
**A certificate of existence from your home state of organization, dated during the current tax
year, must be included with this application.**
1.
The name of the company as registered in its
home state is:
and the state or country of organization is :
The name to be used in West Virginia will be:
2.
Home state name as listed above, if available in W. Va.
[The name must contain one of the required terms such as "limited
liability company" or abbreviations such as L.L.C." or "P.L.L.C." See
DBA name_______________________________________
instructions for complete list of acceptable terms and requirements
for use of trade name (DBA).]
The company will be a:
regular L.L.C.
[See instructions for limitations
3.
on professions which may form P.L.L.C. in W.Va. All members
professional L.L.C. for the profession of
must have WV professional license.]
The address of the designated office of
4.
Street/Box:
the company in WV, if any, will be:
[need
not be a place of the company's business]
City/State/Zip:
The street address of the principal office
5.
Street/Box
is:
City/State/Zip:
and the mailing address
is:
(if different)
Street/Box:
City/State/Zip:
The name and address of the initial agent
Name:
6.
of process, if any, is:
Street:
City/State/Zip:
The mailing address of the above
Street/Box:
agent of process, if different, is:
City/State/Zip:
an at-will company, for an indefinite period.
The company is:
7.
a term company, for the term of
years,
which will expire on
.
FORM LLF-1
Issued by the Secretary of State, State Capitol, Charleston, WV 25305-0770
Revised 11/04

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