Fillable Ma Fllc Form (How to Start a Business)

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Ma Fllc Form (How to Start a Business)

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The Commonwealth of Massachusetts
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Room 1717, Boston, Massachusetts 02108-1512
F
Foreign Limited Liability Company
Application for Registration
(General Laws Chapter 156C, Section 48)
_____________________________
Federal Identication No.:
(1a) e exact name of the limited liability company:
________________________________________________________________________________________________
(1b) If dierent, the name under which it proposes to do business in the Commonwealth of Massachusetts:
________________________________________________________________________________________________
(2) e jurisdiction* where the limited liability company was organized:
________________________________________________________________________________________________
______________________________________________________________
(3) e date of organization in that jurisdiction:
(4) e general character of the business the limited liability company proposes to do in the Commonwealth:
(5) e business address of its principal oce:
(6) e business address of its principal oce in the Commonwealth, if any:
(7) e name and business address, if dierent from principal oce location, of each manager:
(8) e name and business address of each person authorized to execute, acknowledge, deliver and record any recordable
instrument purporting to aect an interest in real property recorded with a registry of deeds or district oce of the land court:
NAME ADDRESS
(9) e name and street address of the resident agent in the Commonwealth:
(10) e latest date of dissolution, if specied: ________________________________________________________________
(11) Additional matters:
Signed by (by at least one authorized signatory): ________________________________________________________________ ,
I __________________________________________________________________________________________________ ,
resident agent of the above limited liability company, consent to my appointment as resident agent pursuant to G.L. c156C § 48
(or attach resident agent's consent hereto).
* Attach a certicate of existence or good standing issued by an ocer or agency properly authorized in home state.
COMMONWEALTH OF MASSACHUSETTS
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Foreign Limited Liability Company
Application for Registration
(General Laws Chapter 156C, Section 48)
____________day of
______ having been paid, said application is
deemed to have been led with me this
________________20_____________at ________
I hereby certify that upon examination of this foreign limited liability company
application for registration, duly submitted to me, it appears that the provisions of
the General Laws have been complied with, and I hereby approve said application;
and the ling fee in the amount of $
am/pm.
time
WILLIAM FRANCIS GALVIN
Secretary of the Commonwealth
Filing fee: $500
TO BE FILLED IN BY
FOREIGN LIMITED LIABILTY COMPANY
Contact Information:
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________
Telephone:
______________________________________________________Email:
Upon ling, a copy of this ling will be available at www.sec.state.ma.us/cor.
If the document is rejected, a copy of the rejection sheet and rejected document will
be available in the rejected queue.
c156cs48lcregistration 2/22/12
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Completed 30 July 2020

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