Fillable Form 206General Information: (Certificate of FormationProfessional Limited Liability (Texas Secretary of State)

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Form 206General Information: (Certificate of FormationProfessional Limited Liability (Texas Secretary of State)

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Form 206—General Information
(Certificate of Formation—Professional Limited Liability Company)
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant
code provisions. This form and the information provided are not substitutes for the advice and services of an
attorney and tax specialist.
Commentary
The professional limited liability company (hereinafter PLLC) is a limited liability company that is
formed for the purpose of providing a professional service. A “professional service” means any type of
service that requires, as a condition precedent to the rendering of the service, the obtaining of a license
in this state, including the personal service rendered by a dentist, attorney, physician, or veterinarian. A
PLLC is governed by title 1, title 3, and chapters 301 and 304 of title 7 of the Texas Business
Organizations Code (BOC). Title 1, chapter 3, subchapter A of the BOC governs the formation of a
PLLC and sets forth the provisions required or permitted to be contained in the certificate of formation.
Title 7, chapter 301 establishes certain restrictions and requirements regarding ownership and
management of a PLLC. Only a professional individual or professional organization may be an owner
or manager of a PLLC. Only a professional individual may be an officer of a PLLC. A professional
individual is an individual who is licensed to practice the same professional service as the PLLC. A
professional organization is a person other than an individual that renders the same professional service
as the PLLC only through owners, members, managerial officials, employees, or agents, each of whom
is a professional individual or professional organization.
Taxes: A PLLC is subject to a state franchise tax. Contact the Texas Comptroller of Public Accounts,
Tax Assistance Section, Austin, Texas, 78774-0100, (512) 463-4600 or (800) 252-1381 for franchise tax
information. For information relating to federal employer identification numbers, federal income tax
filing requirements, tax publications, and forms call (800) 829-3676 or visit the Internal Revenue
Service web site at www.irs.gov.
Instructions for Form
Article 1—Entity Name and Type: Provide a company name and organizational designation.
Under section 5.053 of the BOC, if the name chosen is the same as, deceptively similar to, or similar
to the name of any existing domestic or foreign filing entity, or any name reservation or registration
filed with the secretary of state, the document cannot be filed. The administrative rules adopted for
determining entity name availability (Texas Administrative Code, title 1, part 4, chapter 79,
subchapter C) may be viewed at www.sos.state.tx.us/tac/index.shtml. If you wish the secretary of
state to provide a preliminary determination on name availability, you may call (512) 463-5555, dial
7-1-1 for relay services, or e-mail your name inquiry to corpinfo@sos.state.tx.us. A final
determination cannot be made until the document is received and processed by the secretary of state.
Do not make financial expenditures or execute documents based on a preliminary clearance. Also
note that the preclearance of a name or the issuance of a certificate of formation under a name does
not authorize the use of a name in violation of another person’s rights to the name.
Pursuant to section 5.060 of the BOC, the name of a professional entity must not be contrary to a
statute or regulation that governs a person who provides a professional service through the
professional entity, including a rule of professional ethics. Contact the state agency or examining
Form 206
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board exercising control over the profession to determine whether the name chosen complies with
statutory and regulatory requirements governing the profession.
Form 206
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Article 2—Registered Agent and Registered Office: The registered agent can be either (option A)
a domestic entity or a foreign entity that is registered to do business in Texas or (option B) an
individual resident of the state. The limited liability company cannot act as its own registered agent;
do not enter the limited liability company name as the name of the registered agent.
Consent: Effective January 1, 2010, a person designated as the registered agent of an entity must
have consented, either in a written or electronic form, to serve as the registered agent of the entity.
Although consent is required, a copy of the person’s written or electronic consent need not be
submitted with the certificate of formation. The liabilities and penalties imposed by sections 4.007
and 4.008 of the BOC apply with respect to a false statement in a filing instrument that names a
person as the registered agent of an entity without that person’s consent. (BOC § 5.207)
Office Address Requirements: The registered office address must be located at a street address
where service of process may be personally served on the entity’s registered agent during normal
business hours. Although the registered office is not required to be the entity’s principal place of
business, the registered office may not be solely a mailbox service or telephone answering service
(BOC § 5.201).
Article 3—Governing Authority: The certificate of formation must state whether the PLLC will or
will not have managers. If the PLLC will have managers, select option A and provide the name and
address of each initial manager in the space provided. If the PLLC will not have managers, select
option B and provide the name and address of each initial member of the PLLC in the space
provided. A minimum of one person is required. NOTE: Only a professional individual or
professional organization may be a manager or member of a PLLC.
If the governing person is a professional individual, set forth the name of the individual in the format
specified. Do not use prefixes (e.g., Dr., Mr., Mrs., Ms.). Use the suffix box only for titles of
lineage (e.g., Jr., Sr., III) and not for other suffixes or titles (e.g., M.D., Ph.D.). If the governing
person is a professional organization, set forth the legal name of the organization. For each
governing person, only one name should be entered. Do not include both the name of an individual
and the name of an organization. An address is always required for each governing person.
Please note that a document on file with the secretary of state is a public record that is subject to public
access and disclosure. When providing address information for a manager or member, use a business or
post office box address rather than a residence address if privacy concerns are an issue.
Article 4—Purpose: The certificate of formation of a PLLC must state the type of professional
service to be provided by the professional entity. Pursuant to section 2.004 of the BOC, a
professional entity may engage in only one type of professional service, unless the entity is expressly
authorized to provide more than one type of professional service under state law regulating the
professional services.
Joint Practice by Certain Professionals: Pursuant to section 301.012 of the BOC, the following
professionals are permitted to jointly form and own a PLLC to perform a professional service that
falls within the scope of practice of those practitioners.
Form 206
3
(1) Doctors of medicine and doctors of osteopathy may jointly form and own a PLLC with persons
licensed as podiatrists by the Texas State Board of Podiatric Medical Examiners to perform
professional services that fall within the scope of practice of those practitioners.
(2) Persons licensed as physicians under Subtitle B, Title 3, Occupations Code, and persons licensed
as physician assistants under Chapter 204, Occupations Code, may form and own a PLLC to
perform professional services that fall within the scope of practice of those practitioners.
(3) Professionals, other than physicians, engaged in related mental health fields such as psychology,
clinical social work, licensed professional counseling, and licensed marriage and family therapy
may form a PLLC that is jointly owned by those practitioners to perform professional services
that fall within the scope of practice of those practitioners.
(4) Doctors of medicine and doctors of osteopathy may jointly form and own a PLLC with persons
licensed as optometrists or therapeutic optometrists by the Texas Optometry Board to perform
professional services that fall within the scope of practice of those practitioners. Only a
physician, optometrist, or therapeutic optometrist may hold an ownership interest in a PLLC
formed for the joint practice of medicine or osteopathy and optometry or therapeutic optometry.
The state agencies exercising regulatory control over the professions to which these joint practice
provisions apply continue to exercise regulatory authority over their respective licenses.
Supplemental Provisions/Information: Additional space has been provided for additional text to
an article within this form or to provide for additional articles to contain optional provisions.
Duration: Pursuant to section 3.003 of the BOC, a Texas PLLC exists perpetually unless provided
otherwise in the certificate of formation. If formation of a PLLC with a stated period of duration is
desired, use the “Supplemental Provisions/Information” section of this form to provide for a limited
duration.
Organizer: Only one organizer is required for the formation of a PLLC. An organizer may be any
person having the capacity to contract for the person or for another; that is, a natural person 18 years
of age or older, or a corporation or other legal entity. There are no residency requirements for an
organizer. The organizer is not required to be licensed to perform the professional service for which
the entity is formed.
If the PLLC is formed and owned jointly by a physician and physician assistant, the organizer must
be a physician and must ensure that a physician or physicians control and manage the PLLC.
Effectiveness of Filing: A certificate of formation becomes effective when filed by the secretary of
state (option A). However, pursuant to sections 4.052 and 4.053 of the BOC the effectiveness of the
instrument may be delayed to a date not more than ninety (90) days from the date the instrument is
signed (option B). The effectiveness of the instrument also may be delayed on the occurrence of a
future event or fact, other than the passage of time (option C). If option C is selected, you must state
th
the manner in which the event or fact will cause the instrument to take effect and the date of the 90
day after the date the instrument is signed. In order for the certificate to take effect under option C,
the entity must, within ninety (90) days of the filing of the certificate, file a statement with the
secretary of state regarding the event or fact pursuant to section 4.055 of the BOC.
On the filing of a document with a delayed effective date or condition, the computer records of the
secretary of state will be changed to show the filing of the document, the date of the filing, and the
future date on which the document will be effective or evidence that the effectiveness was
conditioned on the occurrence of a future event or fact. In addition, at the time of such filing, the
status of the entity will be shown as “in existence” on the records of the secretary of state.
Execution: The organizer must sign the certificate of formation, but it does not need to be notarized.
However, before signing, please read the statements on this form carefully. The designation or
appointment of a person as registered agent by an organizer is an affirmation that the person named
in the certificate of formation has consented to serve in that capacity. (BOC § 5.2011, effective
January 1, 2010)
A person commits an offense under section 4.008 of the BOC if the person signs or directs the filing
of a filing instrument the person knows is materially false with the intent that the instrument be
delivered to the secretary of state for filing. The offense is a Class A misdemeanor unless the
person’s intent is to harm or defraud another, in which case the offense is a state jail felony.
Payment and Delivery Instructions: The filing fee for a certificate of formation for a PLLC is
$300. Fees may be paid by personal checks, money orders, LegalEase debit cards, or American
Express, Discover, MasterCard, and Visa credit cards. Checks or money orders must be payable
through a U.S. bank or financial institution and made payable to the secretary of state. Fees paid by
credit card are subject to a statutorily authorized convenience fee of 2.7 percent of the total fees.
Submit the completed form in duplicate along with the filing fee. The form may be mailed to P.O.
Box 13697, Austin, Texas 78711-3697; faxed to (512) 463-5709; or delivered to the James Earl
Rudder Office Building, 1019 Brazos, Austin, Texas 78701. If a document is transmitted by fax,
credit card information must accompany the transmission (Form 807). On filing the document, the
secretary of state will return the appropriate evidence of filing to the submitter together with a file-
stamped copy of the document, if a duplicate copy was provided as instructed.
FYI: A PLLC is required to maintain a registered agent and a registered office address in Texas. If
the registered agent or registered office address changes, it is important to file a statement with the
secretary of state to effect a change to the certificate of formation. Failure to maintain a registered
agent and registered office may result in the involuntary termination of the professional entity.
Revised 06/11
Form 206
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Form 206
5
This space reserved for office use.
Form 206
(Revised 06/11)
Submit in duplicate to:
Secretary of State
P.O. Box 13697
Austin, TX 78711-3697
512 463-5555
FAX: 512 463-5709
Filing Fee: $300
Certificate of Formation
Professional Limited
Liability Company
Article 1 – Entity Name and Type
The filing entity being formed is a professional limited liability company. The name of the entity is:
The name must contain the phrase “professional limited liability company,” or an abbreviation of this phrase.
Article 2 – Registered Agent and Registered Office
(See instructions. Select and complete either A or B and complete C.)
A. The initial registered agent is an organization (cannot be entity named above) by the name of:
OR
B. The initial registered agent is an individual resident of the state whose name is set forth below:
First Name M.I. Last Name Suffix
C. The business address of the registered agent and the registered office address is:
Street Address City State
TX
Zip Code
Article 3—Governing Authority
(Select and complete either A or B and provide the name and address of each governing person.)
A. The professional limited liability company will have managers. The name and address of each
initial manager are set forth below.
B. The professional limited liability company will not have managers. The company will be
governed by its members, and the name and address of each initial member are set forth below.
GOVERNING PERSON 1
NAME (Enter the name of either an individual or an organization, but not both.)
IF INDIVIDUAL
First Name M.I. Last Name Suffix
OR
IF ORGANIZATION
Organization Name
ADDRESS
Street or Mailing Address City State Country Zip Code
GOVERNING PERSON 2
NAME (Enter the name of either an individual or an organization, but not both.)
IF INDIVIDUAL
First Name M.I. Last Name Suffix
OR
IF ORGANIZATION
Organization Name
ADDRESS
Street or Mailing Address City State Country Zip Code
GOVERNING PERSON 3
NAME (Enter the name of either an individual or an organization, but not both.)
IF INDIVIDUAL
First Name M.I. Last Name Suffix
OR
IF ORGANIZATION
Organization Name
ADDRESS
Street or Mailing Address City State Country Zip Code
Article 4 – Purpose
The type of professional service to be provided by the professional entity is (use space provided below):
Supplemental Provisions/Information
Text Area: [The attached addendum, if any, is incorporated herein by reference.]
Form 206
6
Organizer
The name and address of the organizer:
Name
Street or Mailing Address City State Zip Code
Effectiveness of Filing (Select either A, B, or C.)
A. This document becomes effective when the document is filed by the secretary of state.
B. This document becomes effective at a later date, which is not more than ninety (90) days from
the date of signing. The delayed effective date is:
C. This document takes effect upon the occurrence of the future event or fact, other than the
passage of time. The 90
th
day after the date of signing is:
The following event or fact will cause the document to take effect in the manner described below:
Execution
The undersigned affirms that the person designated as registered agent has consented to the
appointment. The undersigned signs this document subject to the penalties imposed by law for the
submission of a materially false or fraudulent instrument and certifies under penalty of perjury that the
undersigned is authorized to execute the filing instrument.
Date:
Signature of organizer
Printed or typed name of organizer
Form 206
7
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Form 206General Information: (Certificate of FormationProfessional Limited Liability (Texas Secretary of State)

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Completed 29 July 2020

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