Form Klc - Articles Of Organization Limited Liability Company With Instructions - 2012

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COMMONWEALTH OF KENTUCKY
A
L
G
, S
S
LISON
UNDERGAN
RIMES
ECRETARY OF
TATE
____________________________________________________________________________________________________________________________
Division of
Business Filings
Articles of Organization
KLC
Business Filings
Limited Liability Company
PO Box 718
Frankfort, KY 40602
(502) 564-3490
Pursuant to KRS 14A and KRS 275, the undersigned applies to qualify and for that purpose submits the following statements:
Article I: The name of the limited liability company is
___________________________________________________________________________________________________.
Article II: The street address of the limited liability company’s initial registered office in Kentucky is
___________________________________________________ ___________________ _________________ __________.
Street Address Only (No Post Office Box Numbers)
City
State
Zip Code
and the name of the initial registered agent at that office is ____________________________________________________.
Article III: The mailing address of the limited liability company’s initial principal office is
___________________________________________________ ___________________ ___________________ ________.
Street Address or Post Office Box Number
City
State
Zip Code
Article IV: The limited liability company is to be managed by (must check one):
_____ A. a manager(s).
_____ B. its member(s).
Article V: This application will be effective upon filing, unless a delayed effective date and/or time is provided. The effective
date or the delayed effective date cannot be prior to the date the application is filed. The date and/or time is _____________.
(Delayed effective
)
date and/or time
I/We declare under penalty of perjury under the laws of the state of Kentucky that the foregoing is true and correct.
_____________________________________________ ______________________________________ _______________
Signature of Organizer
Printed Name & Title
Date
_____________________________________________ ______________________________________ _______________
Signature of Organizer
Printed Name & Title
Date
I, ______________________________________________________, consent to serve as the registered agent on behalf of the limited liability company.
Print Name of Registered Agent
________________________________________________________ _______________________________________ ____________________________
Signature of Registered Agent
Printed Name
Date
(01/12)

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