LLC-12A - Attachment (REV 11/2020)
2020 California Secretary of State
bizfile.sos.ca.gov
Attachment to
Statement of Information
(Limited Liability Company)
LLC-12A
Attachment
Above Space For Office Use Only
A. Limited Liability Company Name (Enter the exact name on file w ith the California
Secretary of State.)
B. 12-Digit Secretary of State Entity (File) Num ber
C. State, Foreign Country, or Place of Organization (only if formed outside of
California)
D. List of Additional Manager(s) or Member(s) - If the manager/member is an individual, enter the individual’s name and address. If the
manager/member is an entity, enter the entity’s name and address. Note: The LLC cannot serve as its ow n manager or member.
2a. First Name – Do not complete Item 2b
2b. Entity Name – Do not complete Item 2a
3a. First Name – Do not complete Item 3b
3b. Entity Name – Do not complete Item 3a
4a. First Name – Do not complete Item 4b
4b. Entity Name – Do not complete Item 4a
5a. First Name – Do not complete Item 5b
5b. Entity Name – Do not complete Item 5a
6a. First Name – Do not complete Item 6b
6b. Entity Name – Do not complete Item 6a
7a. First Name – Do not complete Item 7b
7b. Entity Name – Do not complete Item 7a
8a. First Name – Do not complete Item 8b
8b. Entity Name – Do not complete Item 8a