Limited Liability Company Certificate Of Formation - Washington Secretary Of State Page 2
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ARTICLE 5
□
□
THE LIMITED LIABILITY COMPANY IS MANAGED BY:
Members
or
Managers
(see instructions)
ARTICLE 6
NAME AND ADDRESS OF THE WASHINGTON STATE REGISTERED AGENT:
Name: ____________________________________________________________________________
Physical Location Address (required):
______________________________________________________________
City __________________________________________ State
WA
Zip Code _____________
Mailing or Postal Address (optional):
_______________________________________________________________
City __________________________________________ State
Zip Code _____________
CONSENT TO SERVE AS REGISTERED AGENT:
I consent to serve as Registered Agent in the State of Washington for the above named Limited Liability
Company. I understand it will be my responsibility to accept Service of Process on behalf of the Limited
Liability Company; to forward mail to the Limited Liability Company; and to immediately notify the Office of the
Secretary of State if I resign or change the Registered Office Address.
X___________________________________________________________________________
Signature of Registered Agent
Printed Name
Date
ARTICLE 7
NAME, ADDRESS AND SIGNATURE OF EACH EXECUTOR:
(If necessary, attach additional names, addresses and signatures)
Name: __________________________________________________________________________________
Address: _______________________________City ___________________State
_Zip Code_______
This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct.
X_______________________________________________________________________________________
Signature of Executor
Printed Name
Date
Phone
Name: __________________________________________________________________________________
Address: _______________________________City ___________________State
_Zip Code_______
This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct.
X_______________________________________________________________________________________
Signature of Executor
Printed Name
Date
Phone
Washington LLC - Formation
Washington Secretary of State
Revised 11/11
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