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Limited Liability Company Questionnaire Form. This is a California form and can be use in Department Of Alcoholic Beverage Control Statewide.
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Tags: Limited Liability Company Questionnaire, ABC-256-LLC, California Statewide, Department Of Alcoholic Beverage Control
State of California
Edmund G. Brown Jr., Governor
Department of Alcoholic Beverage Control
LIMITED LIABILITY COMPANY QUESTIONNAIRE
Instructions: An individual managing member or designee may sign on behalf of the limited liability company.
Attach a copy of original operating agreement and all amendments.
1. LIMITED LIABILITY COMPANY NAME
3. PREMISES ADDRESS
2. TELEPHONE NUMBER
(Street number and name, city, zip code)
4. COMPANY HEADQUARTERS ADDRESS
(Street number and name, city, state, zip code)
5. HEADQUARTERS TELEPHONE NUMBER
6. COMPANY ATTORNEY'S NAME
8. COMPANY ATTORNEY'S ADDRESS
9. DATE LLC-1 FILED WITH SECRETARY OF STATE
7. ATTORNEY'S TELEPHONE NUMBER
(Street number and name, city, state, zip code)
10. STATE WHERE LLC-1 FILED
11. STATE WHERE LLC FORMED
WITH SECRETARY OF STATE
12. ARTICLES OF ORGANIZATION
(LLC-2 OR LLC-10) HAS BEEN AMENDED
YES
13. OPERATING AGREEMENT DATE
NO
14. LAST AMENDMENT DATE
15. The Limited Liability Company will be managed by (check one)
One Manager
More than one Manager
Members
Single Member
16. NAME OF MANAGER(S)
MANAGER PRINTED NAME
MANAGER PRINTED NAME
MANAGER PRINTED NAME
MANAGER PRINTED NAME
17. NAME OF OFFICERS AUTHORIZED BY ARTICLES OR AGREEMENT
OFFICER PRINTED NAME
OFFICER PRINTED NAME
OFFICER PRINTED NAME
OFFICER PRINTED NAME
18. LIST ALL MEMBERS
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
I hereby certify that the above are the present managers, officers, and members of the limited liability company and that each such manager, officer, and
member is the real party in interest with respect to his or her position and is not acting, directly or indirectly as an agent, employee or representative of any
other person not reported to the Department. The provisions of sections 23405.2 and 23405.3 of the Business and Professions Code are hereby
acknowledged and it is understood that changes within the limited liability company and/or entities holding interest in the limited liability company will be
reported to the Department as required.
19. SIGNATURE OF MANAGER OR DESIGNEE
PRINTED NAME
DATE SIGNED
(Use reverse for additional names if needed)
ABC-256-LLC (rev. 01-11)
American LegalNet, Inc.
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ADDITIONAL NAMES
(if needed)
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
MEMBER'S PRINTED NAME
PERCENTAGE OF OWNERSHIP
EFFECTIVE DATE
ABC-256-LLC (rev. 01-11)
American LegalNet, Inc.
www.FormsWorkFlow.com
