Certificate Of Election By Professional Association Of Limited Liability Company Status
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Certificate Of Election By Professional Association Of Limited Liability Company Status Form. This is a Pennsylvania form and can be use in Partnership Department Of State.
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Tags: Certificate Of Election By Professional Association Of Limited Liability Company Status, DSCB 15-8908, Pennsylvania Department Of State, Partnership
PENNSYLVANIA DEPARTMENT OF STATE
BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS
Certificate of Election by Professional Association
of Limited Liability Company Status
(15 Pa.C.S. § 8908)
Document will be returned to the
name and address you enter to
the left.
Name
Address
City
State
Zip Code
Fee: $125
In compliance with the requirements of 15 Pa.C.S. § 8908 (relating to election of professional association to
become limited liability company), the undersigned, constituting all of the associates of a professional association,
desiring to elect limited liability company status, hereby state that:
1. The name of the association is:
2. The initial Articles of Association of the association were filed in the Office of the Prothonotary at
County, Pennsylvania.
3. The associates of the professional association have elected to accept the provisions of 15 Pa.C.S. Ch. 89
(relating to professional limited liability companies) for the government and regulation of the affairs of the
association).
4. The provisions that constitute the initial certificate of organization of the limited liability company are set forth
in full in Exhibit A attached hereto and made a part hereof.
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DSCB:15-8908-2
IN TESTIMONY WHEREOF, the undersigned constituting all of the associates of the professional association,
have executed this Certificate of Election of Limited Liability Company Status this
day of
,
.
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Department of State
Bureau of Corporations and Charitable Organizations
P.O. Box 8722
Harrisburg, PA 17105-8722
(717) 787-1057
web site: www.dos.state.pa.us/corps
Instructions for Completion of Form:
A. Typewritten is preferred. If not, the form shall be completed in black or blue-black ink in order to permit reproduction.
The filing fee for this form is $125 made payable to the Department of State.
B. Under 15 Pa.C.S.
and the Department of State is required to refuse to receive or file any document that sets forth only a post office box
address.
C. The following, in addition to the filing fee, shall accompany this form:
(1) Certificate of Organization (DSCB:15-8913)
(2) One copy of a completed form DSCB:134A (Docketing Statement).
(3) Any necessary copies of form DSCB:17.2.3 (Consent to Appropriation of Name).
(4) Any necessary governmental approvals.
D. It is not necessary to execute the form DSCB:15-8913 attached as Exhibit A. The filing fee specified for this form
includes the filing of such Exhibit A and an additional fee relating to form DSCB:15-8913 should not be
tendered.
E. This form and all accompanying documents shall be mailed to the address stated above.
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