Limited Liability Company Annual Report
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Limited Liability Company Annual Report Form. This is a Massachusetts form and can be use in Corporations Division Secretary Of State.
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Tags: Limited Liability Company Annual Report, Massachusetts Secretary Of State, Corporations Division
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The Commonwealth of Massachusetts
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Room 1717, Boston, Massachusetts 02108-1512
Limited Liability Company Annual Report
(General Laws Chapter 156C, Section 12)
Federal Identification No.: _____________________________
Year: ____________________
(1a) The exact name of the limited liability company:
________________________________________________________________________________________________
(1b) The exact name of the limited liability company as amended:
________________________________________________________________________________________________
(2a) Location of its principal office:
________________________________________________________________________________________________
(2b) The street address of the office in the commonwealth at which its records will be maintained:
(3) The general character of the business:
________________________________________________________________________________________________
(4) Latest date of dissolution, if specified: ___________________________________________________________________
(5) The name and street address of the resident agent in the commonwealth:
(6) The name and business address of each manager, if any:
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(7) The name and business address of the person(s) in addition to manager(s) authorized to execute documents filed with the
Corporations Division, and at least one person shall be named if there are no managers:
(8) The name and business address of the person(s) authorized to execute, acknowledge, deliver and record any recordable
instrument purporting to affect an interest in real property.
(9) Additional matters:
Signed by (by at least one authorized signatory): ________________________________________________________________
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