Form L-111 - Restated Certificate Of Formation

L-111 Rev. 3/2013

New Jersey Division of Revenue & Enterprise Services

RESTATED CERTIFICATE OF FORMATION

Limited Liability Company

To file electronically:

1. Enter the information requested below and sign by typing your name in the signature field. The form can only be filled in using the free Adobe

Acrobat Reader 9.1 or greater. (See the pages following this form for field by field instructions, and notes on delivery and processing of work requests.)

2. Click the "Add Attachments" button to add attachments if required (Check the field by field instructions to see if you must include an attachment(s)).

3. After the form has been filled in properly, please save a copy to your computer so that you can upload the form to the State of New Jersey Division of

Revenue & Enterprise Services Central Forms Repository Web application by following the instructions in the next step.

4. Click the "Open the Central Forms Repository Home Page to start the Form Submission Process" button at the bottom of the form.

(This action will launch the State of New Jersey Division of Revenue & Enterprise Services Central Forms Repository Web application. If you have not

created an account in the application, you will need to do so before using the online Web application. Once your account is created, please login to the

application and follow the instructions for submitting your form and payment online.)

This form may be used to restate the Certificate of Formation of a Limited Liability Company on file with

the Division of Revenue & Enterprise Services, as previously amended or supplemented by any instrument

that was executed and filed pursuant NJSA 42.

1. Name of Limited Liability Company: __________________________________________________

2. Identification Number: ______________________________________________________________

3. Other Provisions: __________________________________________________________________

4. Attachments:

The undersigned represent(s) that this filing complies with State law as detailed in NJSA 42 and that they

are authorized to sign this form on behalf of the LLC. The undersigned also attest that this restated

certificate ONLY RESTATES AND INTEGRATES previous filings, and that this certificate DOES NOT

further amend, in any respect, the Certificate of Formation, as previously amended or supplemented.

Signature: ____________________________________________

Date: ____________________

Name: _______________________________________________

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Form L-111 - Restated Certificate Of Formation - 2013

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