Application for Authority to Transact Business - Foreign Limited Liability Company
Secretary of State - Corporation Division - 255 Capitol St. NE, Suite 151 - Salem, OR 97310-1327 - http://www.FilingInOregon.com - Phone: (503) 986-2200
In accordance with Oregon Revised Statute 192.410-192.490, the information on this application is public record.
We must release this information to all parties upon request and it will be posted on our website. For office use only
Please Type or Print Legibly in Black Ink. Attach Additional Sheet if Necessary.
(Must contain the words “Limited Liability Company” or the abbreviations “LLC” or “L.L.C.”) Must be identical to the name of record in home jurisdiction.
REGISTRY NUMBER IN HOME JURISDICTION
REGISTERED AGENT'S PUBLICLY AVAILABLE ADDRESS:
(Must be an Oregon Street Address, which is identical to the registered agent’s
business office.)
(Please provide a web-verifiable registry number from the entity’s home
jurisdiction. Certain states, such as Delaware and New Jersey, do not provide
status information online. Entities from such places must instead attach an
official certificate of existence, current within 60 days of delivery to this office.)
DURATION, IF NOT PERPETUAL:
ADDRESS OF PRINCIPAL OFFICE OF THE BUSINESS:
STATE OR COUNTRY OF ORGANIZATION:
ADDRESS WHERE THE DIVISION MAY MAIL NOTICES:
THIS FOREIGN LIMITED LIABILITY COMPANY SATISFIES THE
REQUIREMENTS OF ORS 63.714(3).
HOW WILL THIS LIMITED LIABILITY COMPANY BE MANAGED?
NAME OF OREGON REGISTERED AGENT:
This LLC will be member-managed by one or more members.
This LLC will be manager-managed by one or more managers.
EXECUTION: (At least one member or manager must sign.)
By my signature, I declare as an authorized authority, that this filing has been examined by me and is, to the best of my knowledge and belief, true,
correct, and complete. Making false statements in this document is against the law and may be penalized by fines, imprisonment or both.
CONTACT NAME: (To resolve questions with this filing.)
Required Processing Fee $275
Processing Fees are nonrefundable. Please make check payable to “Corporation Division.”
Free copies are available at FilingInOregon.com, using the Business Name Search program.
PHONE NUMBER: (Include area code.)
110 - Application for Authority to Transact Business - Foreign Limited Liability Company (03/12)