Filing Fee $50.00 LL-01 Rev. 10/21
Certificate of Organization for Limited Liability Company
(PLEASE TYPE OR PRINT CLEARLY IN INK)
The undersigned authorized manager or member or person forming this Limited Liability Company under the Uniform Limited Liability Company
Act, Act 1041 of 2021 Arkansas Code Annotated § 4-38-201, adopts the following Certificate of Organization of such Limited Liability Company:
(Name)
__________________________________________________________________________________________
(Physical Street Address) (City, State & Zip)
I affirm that I am the individual authorized to sign on behalf of the aforementioned entity to be formed and that,
under penalty of perjury, the information stated in this record is accurate.
Executed this _______________ day of ___________________, ___________________.
______________________________________________ __________________________________________
(Signature of Organizer)
(Typed or printed name)
______________________________________________ __________________________________________
(Signature of Organizer)
(Typed or printed name)
Arkansas Secretary of State
1401 W. Capitol, Suite 250, Little Rock, AR 72201
John Thurston
501-682-3409 • www.sos.arkansas.gov
1. The Name of the Limited Liability Company is : _____________________________________________________
___________________________________________________________________________________________
* Must contain the words "Limited Liability Company," "Limited Company," or the abbreviation "L.L.C.,"
"L.C.," "LLC," or "LC." The word "Limited" may be abbreviated as "Ltd.", and the "Company" may be
abbreviated as "Co."
* Companies which perform a professional service MUST additionally contain the words "Professional Limited
Liability Company," "Professional Limited Company," or the abbreviations "P.L.L.C.," "P.L.C.," "PLLC," or "PLC"
and not contain the name of a person who is not a member except that of a deceased member. The word
"Limited" may be abbreviated as "Ltd.", and the "Company" maybe abbreviated as "Co."
2. Address of the principal office of business of the Limited Liability Company shall be:
__________________________________________________________________________________________
3. The name and address of the registered agent of this company shall be: ________________________________
4. The name and title of at least one officer for franchise tax purposes: (attach additional page, if needed)
Name
__________________________________________
__________________________________________
__________________________________________
Title (Member or Manager)
____________________________________________
____________________________________________
____________________________________________
(Physical Street Address)
(City, State & Zip)
