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DOS-1709-f (Rev. 04/16)
CERTIFICATE OF PUBLICATION
OF
(Name of Domestic Professional Service Limited Liability Company)
Under Section 1203 of the Limited Liability Company Law
The undersigned is the
(Check appropriate box) Member Manager
Authorized Person
of .
(Name of Domestic Professional Service Limited Liability Company)
If the name of the professional service limited liability company has changed, the name under
which it was organized is: .
The articles of organization were filed by the Department of State on: .
The published notices described in the annexed affidavits of publication contain all of the information
required by Section 1203 of the Limited Liability Company Law.
The newspapers described in such affidavits of publication satisfy the requirements set forth in the
Limited Liability Company Law and the designation made by the county clerk.
I certify the foregoing statements to be true under penalties of perjury.
(Date)
X
(Signature)
(Type or Print Name)
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DOS-1709-f (Rev. 04/16)
CERTIFICATE OF PUBLICATION
OF
(Name of Domestic Professional Service Limited Liability Company)
Under Section 1203 of the Limited Liability Company Law
Filed By:
(Name)
(Mailing Address)
(City, State and Zip Code)
NOTES:
1. The name of the domestic professional service limited liability company and the date of filing of the articles of
organization must exactly match the records of the Department of State. This information should be verified on
the Department of State’s website at www.dos.ny.gov.
2. This form was prepared by the New York State Department of State for filing a certificate of publication for a
domestic professional service limited liability company. You are not required to use this form. You may draft
your own form or use forms available from legal stationery stores.
3. The Department of State recommends that legal documents be prepared under the guidance of an attorney.
4. This certificate of publication, with the affidavits of publication of the newspapers annexed thereto, must be
submitted with a $50 filing fee payable to the Department of State.
(For office use only)
Attach this page after the affidavits of publication.