Form 305
4
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 application for registration. 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).
Item 11—Appointment of Secretary of State: By signing the application for registration, the
foreign entity consents to the appointment of the secretary of state as an agent of the foreign filing
entity for service of process under the circumstances described by section 5.251 of the BOC.
Item 12—Governing Persons: Provide the name and address of each person serving as part of the
governing authority of the foreign professional limited liability company. Generally, this would be
the group of persons who are entitled to manage and direct the affairs of the foreign professional
limited liability company. A minimum of one governing person is required. If the governing person
is an individual, set forth the name of the individual in the format specified. Do not use prefixes
(e.g., 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 an 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 governing persons, use a business or
post office box address rather than a residence address if privacy concerns are an issue.
Supplemental Provisions/Information: Additional space has been provided for additional text to
an item within this form.
Effectiveness of Filing: The application for registration 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 the manner in which the event or fact will cause the instrument to take effect
and the date of the 90
th
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