Certificate Of Publication Page 2
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1
2CERTIFICATE OF PUBLICATION
OF
(Name of Domestic Limited Liability Company)
Under Section 206 of the Limited Liability Company Law
Filed by:
(Name)
(Mailing Address)
(City, State and ZIP Code)
Note: This form was prepared by the New York State Department of State for filing a certificate of publication for a domestic
limited liability company. You are not required to use this form. You may draft your own form or use forms available from legal
stationery stores. The Department of State recommends that legal documents be prepared under the guidance of an attorney.
This certificate of publication, with the affidavits of publication of the newspapers annexed thereto, must be submitted with a $50
filing fee payable to the Department of State.
(For office use only)
Attach this page after the affidavits of publication.
Page 2 of 2
DOS-1708-f-l (Rev. 06/12)
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