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Application For Registration Of Foreign Limited Liability Company Form. This is a Arizona form and can be use in Limited Liability Company Secretary Of State.
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Tags: Application For Registration Of Foreign Limited Liability Company, LL0005, Arizona Secretary Of State, Limited Liability Company
PHOENIX OFFICE
TUCSON OFFICE
1300 West Washington
Phoenix, Arizona 85007-2929
Phone: (602) 542-3026
Toll Free (AZ only): 1-800-345-5819
400 West Congress, Suite #221
Tucson, Arizona 85701-1347
Phone: (520) 628-6560
Toll Free (AZ only): 1-800-345-5819
www.azcc.gov
ARIZONA CORPORATION COMMISSION
CORPORATIONS DIVISION
www.azcc.gov
GENERAL FILING INSTRUCTIONS
FOR FOREIGN LIMITED LIABILITY COMPANY FILING CHECKLIST
Pursuant to A.R.S. §29-802 et seq.
Company Name
Check name for availability using the preliminary name search instructions on our web site at
www.azcc.gov/divisions/corporations/filings/namingpolicy.asp. You may also reserve a name for
up to 120 days. If you reserve a name, please attach a copy of the name reservation.
Attach copy of Trade Name Certificate.
Make sure the entity’s name has the appropriate corporate ending pursuant A.R.S. §§29602(A). If the name of the foreign LLC is unavailable for use in this state or does not satisfy
the requirements of A.R.S. §§29-602, the foreign LLC must adopt a fictitious name.
If the name of the foreign LLC is unavailable for use in this state or does not satisfy the
requirements of A.R.S. §§29-602, the foreign LLC must adopt a fictitious name.
Attach a copy of the company’s resolution adopting the fictitious name. The resolution must
be approved and signed by a manager if management is vested in managers or by a
member if management is reserved to members.
Application for Registration
Indicate the exact name of the foreign limited liability company.
If the exact name is not available indicate the fictitious name adopted for use in Arizona and
make sure to attach a copy of the company’s resolution adopting the name.
Indicate the state, province or country in which the company formed.
Indicate the date of formation.
Indicate the purpose of the company or the general character of business the company
proposes to transact in Arizona.
Indicate the name and address of the statutory agent in Arizona. If the statutory agent has a
P.O. Box, then they must also provide a street address/location.
Indicate if management is reserved to the members or vested in a manager(s).
If reserved to the members, indicate the name(s) and address (es) of the members.
If vested in a manager, indicate the name(s) and address (es) of the manager(s) AND the
member(s) who own 20% or greater interest in the capital or profits of the company.
Indicate the address of the office required to be maintained in the jurisdiction under the laws of
which the company is organized, if required. Or, if not required, then the address of the principal
office of the company.
Affix signature of statutory agent and acknowledgement of acceptance of appointment.
Affix a signature. The document must be signed by a manager, member, or authorized agent.
Fees
Attach a check for the filing fee of $150.00. Expedited service is available for an additional
$35.00. Please make check payable to the Arizona Corporation Commission.
Attachments
Attach a certificate of existence or document of similar import duly authenticated (within sixty
(60) days) by the official having custody of corporate records in the state, province or county
under whose laws the company is organized.
If applicable, attach a copy of the Trade Name Certificate or A.C.C. name reservation.
Publication
Publication is not required
LL:0005
Rev. 10/2007
Arizona Corporation Commission
Corporations Division
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1. The company name
must contain an ending
which may be “limited
liability company,”
“limited company,” or
the abbreviations
“L.L.C.”, “L.C.”, “LLC”
or “LC”. If you are the
holder or assignee of a
tradename, attach a
copy of the tradename
certificate. If your
name is not available
for use in Arizona, you
must adopt a fictitious
name and provide a
resolution adopting the
name, which must be
signed by a manager,
member or authorized
agent.
APPLICATION FOR REGISTRATION
OF A FOREIGN LIMITED LIABILITY COMPANY
Pursuant to A.R.S. §29-802 et seq.
1.
The name of the foreign limited liability company is:
____________________________________________________________________
1. a.
If the exact name of the foreign limited liability company is not available for use in this
state, then the fictitious name adopted for use by the limited liability company in
Arizona is:
____________________________________________________________(FN)____
2.
The company is organized under the laws of: ________________________________
(State)
3.
The date of the company’s formation is: ____________________________________
3. Provide the date on
which your company
organized in the state
or jurisdiction under
whose laws it was
formed.
4.
The purpose of the company or the general character of business it proposes to
transact in Arizona is:
____________________________________________________________________
4. Provide the general
character of business
you plan to transact in
Arizona.
5.
2. Provide the name of
the state or jurisdiction
under whose laws your
company was formed.
5. The statutory agent
must provide a street
address. If statutory
agent has a P.O. Box,
then they must
also provide a street
address/location.
The agent must
consent to the
appointment by
executing the consent.
____________________________________________________________________
The name and street address of the statutory agent for the foreign limited liability
company in Arizona is:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
ACCEPTANCE OF APPOINTMENT BY STATUTORY AGENT
I,
, having been designated to act as
(Print Name)
statutory agent, hereby consent to act in that capacity until removed or resignation is submitted
in accordance with the Arizona Revised Statutes.
_______________________________________
LL:0005
Rev. 10/2006
Signature
_______________________________________
If signing on behalf of a company, print company name here
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6. Check which
management structure
will be applicable to
your company.
Provide name, title and
address for each
person.
6.
A
Management Structure (select option A or B):
Management of the limited liability company is vested in a manager or
managers. The names and addresses of each person who is a manager AND
each member who owns a twenty percent or greater interest in the capital or
profits of the limited liability company are:
Name: _________________________________
[ ] member [ ] manager
Name: _______________________________
[ ] member [ ] manager
Address: _______________________________
Address: _____________________________
7. If the jurisdiction
under the law of which
___________________________________
your company is
formed, you must
provide the address of City, State, Zip:
the principle office of
the company, in
Name: _________________________________
whatever state or
[ ] member [ ] manager
jurisdiction it is located.
Name: _______________________________
[ ] member [ ] manager
Address: _______________________________
Address: _____________________________
___________________________________
____________________________________
City, State, Zip:
City, State, Zip:_________________________
The application must
be signed by a
member, manager or
duly authorized agent.
B
____________________________________
City, State, Zip:_________________________
Management of the limited liability company is reserved to the members.
The names and addresses of each person who is a member are:
Name: _________________________________
Attach a certificate of
existence or document
of similar import duly
Address: _______________________________
authenticated (within
sixty (60) days) by the
official having custody ___________________________________
of corporate records in
the state, province or
City, State, Zip:
county under whose
laws the corporation is
incorporated.
Name: _______________________________
Name: _________________________________
Name: _______________________________
Address: _______________________________
Address: _____________________________
___________________________________
____________________________________
City, State, Zip:
City, State, Zip:_________________________
7.
Address: _____________________________
____________________________________
City, State, Zip:_________________________
The address of the office required to be maintained in the jurisdiction under the laws of
which the company is organized, if required; or, if not required, the address of the
principal office of the company is:
____________________________________________________________________
____________________________________________________________________
Your phone and fax
numbers are optional.
Executed this
day of
,
.
___________________________
LL:0005
Rev. 10/2006
______________________________________________
Signature
Print Name (Check One)
PHONE: ______________________________
Member
Manager
Authorized Agent
FAX: _______________________________
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