Foreign Limited Liability Company Application For Certificate Of Authority - Wyoming Secretary Of State Page 3

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8. The limited liability company accepts the constitution of the state of Wyoming in compliance with the requirement
of Article 10, Section 5 of the Wyoming Constitution.
9. State the date this limited liability company began doing business in Wyoming or the date it will begin to do
business in Wyoming:
(Please note that a limited liability company doing business in Wyoming without authority shall be subject to
back taxes and penalties pursuant to W.S. 17-16-1502(d).)
(Date – mm/dd/yyyy)
Signature: ___________________________________________
Date:
(May be executed by a member, manager, or other authorized individual as set
(mm/dd/yyyy)
forth in the operating agreement.)
Print Name:
Contact Person:
Title:
Daytime Phone Number:
Email:
(Email provided will receive annual report reminders and filing evidence)
*May list multiple email addresses
REQUIRED ATTACHMENT TO INCLUDE WITH THE FILING
The application must be accompanied by an original certificate of existence/good standing, dated not more than
sixty (60) days prior to filing in Wyoming, authenticated by the Secretary of State or official having custody of
corporate records in the state or country of formation.
FLLC-CertificateAuthority - Revised October 2015

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