State of Utah Department of Commerce Division of Corporations & Commercial Code Certificate of Organization (Limited Liability Company) Important: Read instructions before completing form 1. Name of Limited Liability Company: 2. Principal office address: Street Address Required PO Box can be listed after Street Address Address Non-Refundable Processing Fee: $70.00 ______________________________________________________________________________________________ City State Zip 3. The name of the Registered Agent (Individual or Business Entity or Commercial Registered Agent): __________________________________________________________________________________________ The address must be listed if you have a non-commercial registered agent. See instructions for further details. Address of the Registered Agent: City: 4. Signature of Organizer Signature: 1. ________________________________________________________________________________ Name ________________________________ Position State Zip _____________________________________________________________ Utah Street Address Required, PO Boxes can be listed after the Street Address State UT Zip: 5. Name and Address of Members and/or Managers (optional): _____________________________________________________________________________________________________________ Address City 2. ________________________________________________________________________________ Name Address City ________________________________ Position State Zip _____________________________________________________________________________________________________________ 6. Duration (optional): The duration of the company shall be perpetual The duration of the company shall be _____________________________ 7. Purpose (optional): Under GRAMA {63-2-201}, all registration information maintained by the Division is classified as public record. For confidentiality purposes, you may use the business entity physical address rather than the residential or private address of any individual affiliated with the entity. Optional Inclusion of Ownership Information: This information is not required. Is this a female owned business? Yes No Is this a minority owned business? Yes No If yes, please specify: American LegalNet, Inc. www.FormsWorkFlow.com