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Certificate Of Organization Domestic Limited Liability Company Form. This is a Pennsylvania form and can be use in Partnership Department Of State.
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Tags: Certificate Of Organization Domestic Limited Liability Company, DSCB 15-8913, Pennsylvania Department Of State, Partnership
PENNSYLVANIA DEPARTMENT OF STATE
BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS
Certificate of Organization
Domestic Limited Liability Company
(15 Pa.C.S. § 8913)
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. § 8913 (relating to certificate of organization), the undersigned
desiring to organize a limited liability company, hereby certifies that:
1. The name of the limited liability company (designator is required, i.e., “company”, “limited” or “limited
liability company” or abbreviation):
2. The (a) address of the limited liability company’s initial registered office in this Commonwealth or (b) name of
its commercial registered office provider and the county of venue is:
(a) Number and Street
City
(b) Name of Commercial Registered Office Provider
c/o:
State
Zip
County
County
3. The name and address, including street and number, if any, of each organizer is (all organizers must sign on
page 2):
Name
Address
American LegalNet, Inc.
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DSCB:15-8913-2
4. Strike out if inapplicable term
A member’s interest in the company is to be evidenced by a certificate of membership interest.
5. Strike out if inapplicable:
Management of the company is vested in a manager or managers.
6. The specified effective date, if any is:
.
month date year hour, if any
7. Strike out if inapplicable: The company is a restricted professional company organized to render the following
restricted professional service(s):
8. For additional provisions of the certificate, if any, attach an 8½ x 11 sheet.
IN TESTIMONY WHEREOF, the organizer(s) has (have)
signed this Certificate of Organization this
day of
,
.
Signature
Signature
Signature
American LegalNet, Inc.
www.FormsWorkFlow.com
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. § 135(c) (relating to addresses) an actual street or rural route box number must be used as an
address, 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) One copy of a completed form DSCB:15-134A (Docketing Statement).
(2) Any necessary copies of form DSCB:17.2.3 (Consent to Appropriation of Name).
(3) Any necessary governmental approvals.
D. This form and all accompanying documents shall be mailed to the address stated above.
American LegalNet, Inc.
www.FormsWorkFlow.com