Form Llc-12r Statement Of Information (Limited Liability Company) - 2006
Download a blank fillable Form Llc-12r Statement Of Information (Limited Liability Company) - 2006 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Llc-12r Statement Of Information (Limited Liability Company) - 2006 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1L
State of California
Secretary of State
STATEMENT OF INFORMATION
(Limited Liability Company)
Filing Fee $20.00. If amendment, see instructions.
IMPORTANT — READ INSTRUCTIONS BEFORE COMPLETING THIS FORM
LIMITED LIABILITY COMPANY NAME
1.
(Please do not alter if name is preprinted.)
This Space For Filing Use Only
DUE DATE:
[For forms preprinted by the Secretary of State.]
FILE NUMBER AND STATE OR PLACE OF ORGANIZATION
2.
SECRETARY OF STATE FILE NUMBER
3.
STATE OR PLACE OF ORGANIZATION
NO CHANGE STATEMENT
If there has been no change in any of the information contained in the last Statement of Information filed with the Secretary of State, check
the box and proceed to Item 13.
If there have been any changes to the information contained in the last Statement of Information filed, or no Statement of Information has
been previously filed, this form must be completed in its entirety.
COMPLETE ADDRESSES FOR THE FOLLOWING
(Do not abbreviate the name of the city. Items 4 and 5 cannot be P.O. Boxes.)
4.
STREET ADDRESS OF PRINCIPAL EXECUTIVE OFFICE
CITY AND STATE
ZIP CODE
5.
CALIFORNIA OFFICE WHERE RECORDS ARE MAINTAINED (DOMESTIC ONLY)
CITY
STATE
ZIP CODE
CA
NAME AND COMPLETE ADDRESS OF THE CHIEF EXECUTIVE OFFICER, IF ANY
6.
NAME
ADDRESS
CITY AND STATE
ZIP CODE
NAME AND COMPLETE ADDRESS OF ANY MANAGER OR MANAGERS, OR IF NONE HAVE BEEN APPOINTED OR ELECTED,
PROVIDE THE NAME AND ADDRESS OF EACH MEMBER
(Attach additional pages, if necessary.)
7.
NAME
ADDRESS
CITY AND STATE
ZIP CODE
8.
NAME
ADDRESS
CITY AND STATE
ZIP CODE
9.
NAME
ADDRESS
CITY AND STATE
ZIP CODE
AGENT FOR SERVICE OF PROCESS (
If the agent is an individual, the agent must reside in California and Item 11 must be completed with a California
address. If the agent is a corporation, the agent must have on file with the California Secretary of State a certificate pursuant to Corporations Code section
1505 and Item 11 must be left blank.)
10. NAME OF AGENT FOR SERVICE OF PROCESS
11. ADDRESS OF AGENT FOR SERVICE OF PROCESS IN CALIFORNIA, IF AN INDIVIDUAL
CITY
STATE
ZIP CODE
CA
TYPE OF BUSINESS
12. DESCRIBE THE TYPE OF BUSINESS OF THE LIMITED LIABILITY COMPANY
13. THE INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT.
TYPE OR PRINT NAME OF PERSON COMPLETING THE FORM
SIGNATURE
TITLE
DATE
LLC-12R (REV 07/2006)
APPROVED BY SECRETARY OF STATE
Clear Form
Print Form
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal