This Box For Office Use Only Page 1 of 2 Washington Limited Liability Company See attached detailed instructions Ƒ Filing Fee $175.00 Ƒ Filing Fee with Expedited Service $195.00 UBI Number: CERTIFICATE OF FORMATION Chapter 25.15 RCW ARTICLE 1 NAME OF LIMITED LIABILITY COMPANY: ____________________________________________________________________________ (Must contain one of the following designations: Limited Liability Company, Limited Liability Co or one of these abbreviations: L.L.C. or LLC ARTICLE 2 ADDRESS OF THE PRINCIPAL PLACE OF BUSINESS: Street Address______________________________City___ __________State ____Zip__________ PO Box____________________________________City___ __________State ____Zip__________ ARTICLE 3 EFFECTIVE DATE OF FORMATION: (Please check one of the following) Ƒ Ƒ Upon filing by the Secretary of State Specific Date: __________________ (Specified effective date must be within 90 days AFTER the Certificate of Formation has been filed by the Office of the Secretary of State) ARTICLE 4 TENURE: (Please check one of the following and indicate the date if applicable) Ƒ Ƒ Perpetual existence Specific term of existence _______________ (Number of years or date of termination) Washington LLC - Formation Washington Secretary of State Revised 10/08 American LegalNet, Inc. www.FormsWorkflow.com Page 2 of 2 ARTICLE 5 NAME AND ADDRESS OF THE WASHINGTON STATE REGISTERED AGENT: Name: ____________________________________________________________________________ Physical Location Address (required): ______________________________________________________________ City _____________________________________________ WA Zip Code ____________ Mailing or Postal Address (optional): _______________________________________________________________ City _____________________________________________ WA Zip Code _____________ CONSENT TO SERVE AS REGISTERED AGENT: I consent to serve as Registered Agent in the State of Washington for the above named Limited Liability Company. I understand it will be my responsibility to accept Service of Process on behalf of the Limited Liability Company; to forward mail to the Limited Liability Company; and to immediately notify the Office of the Secretary of State if I resign or change the Registered Office Address. X___________________________________________________________________________ Signature of Registered Agent Printed Name Date ARTICLE 6 NAME, ADDRESS AND SIGNATURE OF EACH EXECUTOR: (If necessary, attach additional names, addresses and signatures) Name: __________________________________________________________________________________ Address: _______________________________City___________________State _Zip Code_______ X_______________________________________________________________________________________ Signature of Executor Printed Name Date This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct. Name: __________________________________________________________________________________ Address: _______________________________City___________________State _Zip Code_______ X_______________________________________________________________________________________ Signature of Executor Printed Name Date This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct. Washington LLC - Formation Washington Secretary of State Revised 10/08 American LegalNet, Inc. www.FormsWorkflow.com INSTRUCTIONS - CERTIFICATE OF FORMATION Please complete all sections of the Certificate of Formation. USE DARK INK ONLY Article 1: Enter the name of the Limited Liability Company (LLC). In accordance with RCW 25.15.010 a LLC name must contain the words Limited Liability Company, the words Limited Liability Co., or the abbreviation L.L.C. or LLC. A Limited Liability Company name must be distinguishable upon the records of the Secretary of State from any other formally organized entity registered with the Secretary of State’s office, such as corporations, limited liability companies, limited partnerships, and limited liability partnerships. It is advised that you contact the Secretary of State to check for name availability before filing. Article 2: Enter the address of the Limited Liability Company’s principle place of business. Article 3: Choose either upon filing by the Secretary of State or you may indicate an effective date. The effective date can be up to 90 days AFTER filing of the Certificate of Formation by the Office of the Secretary of State. Article 4: Perpetual (i.e. ongoing until dissolved) or list a specific date or a specific number of years. Article 5: All Limited Liability Companies must have a registered agent in Washington State. The registered agent may be an individual who is a resident of Washington State, or a business entity registered with the Secretary of State’s office. The agent must have a physical address in Washington State where they can be located. An alternative mailing address may be used in addition to the physical address. The mailing address must also be in Washington State. The registered agent must print their name and sign the consent to serve as registered agent. Article 6: The Executor is the person(s) forming the Limited Liability Company. Please list the full name and address of each Executor. All Executors must sign the Certificate of Formation. Additional Information: You may attach any optional provisions to this certificate (please do not attach operating agreements or minutes, these items are not filed with this office). FEES: The filing fee for the Certificate of Formation is $175.00 If expedited service is requested then include an additional $20.00 and write “EXPEDITE” on the outside of the envelope. Make the checks or money orders payable to “Secretary of State”. (Expedite fees are non-refundable) Mail completed forms and payment to: Secretary of State Corporation Division 801 Capitol Way S PO Box 40234 Olympia WA 98504-0234 If you have questions or need assistance, please visit the Corporation Division website at www.secstate.wa.gov/corps or call 360-725-0377. Washington LLC - Formation Washington Secretary of State Revised 10/08 American LegalNet, Inc. www.FormsWorkflow.com