Application For Registration Of Foreign Llc - Nevada Secretary Of State
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10*050302*
ROSS MILLER
*050302*
Secretary of State
204 North Carson Street, Suite 4
Carson City, Nevada 89701-4520
(775) 684-5708
Website:
Application for
Registration of Foreign
Limited-Liability Company
(PURSUANT TO NRS 86.544)
USE BLACK INK ONLY - DO NOT HIGHLIGHT
ABOVE SPACE IS FOR OFFICE USE ONLY
Check box if a
1. Name of Foreign
Series Limited-
Limited-Liability
Liability Company
Company:
2. Name Being
The name under which this foreign limited-liability company proposes to register and transact business in Nevada is:
Registered with
Nevada:
(see
instructions)
3. Entity Domicile:
This entity is in good standing in the
(date and state or
jurisdiction of its incorporation/creation.
Date Formed
State or Country where Authorized
country of formation)
4. Registered
Commercial Registered Agent:
Agent for Service
Name
of Process:
(check
Noncommercial Registered Agent
Office or Position with Entity
OR
only one box)
(name and address below)
(name and address below)
Name of Noncommercial Registered Agent OR Name of Title of Office or Other Position with Entity
Nevada
Street Address
City
Zip Code
Nevada
Mailing Address (if different from street address)
City
Zip Code
In the event the above-designated Agent for Service of Process resigns and is not replaced or the agent's authority
has been revoked or the agent cannot be found or served with exercise of reasonable diligence, then the Secretary
of State is hereby appointed as the Agent for Service of Process.
5. Records Office:
(see instructions)
Street Address
City
State
Zip Code
6. Street Address of
Principal Office:
(or
office required to be
maintained in the domicile
Street Address
City
State
Zip Code
state by the laws of that
state)
7. Name and
Address of each
Manager or
Name
Member:
(attach
additional page if more
Street Address
City
State
Zip Code
than 1)
8. Name and
I declare, to the best of my knowledge under penalty of perjury, that the information contained herein is correct and acknowledge
Signature of
that pursuant to NRS 239.330, it is a category C felony to knowingly offer any false or forged instrument for filing in the Office of
the Secretary of State.
Manager or
X
Member:
Name
Authorized Signature
9. Certificate of
I hereby accept appointment as Registered Agent for the above named Entity.
Acceptance of
X
Appointment of
Registered Agent:
Authorized Signature of Registered Agent or On Behalf of Registered Agent Entity
Date
Nevada Secretary of State NRS 86.544 FLLC Articles
This form must be accompanied by appropriate fees.
Revised: 9-20-13
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