Fillable Ma Fpllc Form (How to Start a Business)

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Ma Fpllc 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
FP
Foreign Professional Limited Liability Company
Application for Registration
(General Laws Chapter 156C, Section 48)
_____________________________
Federal Identification No.:
(1a) e exact name of the limited liability company:
________________________________________________________________________________________________
(1b) If different, 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:
(4a) e professional service to be rendered:
________________________________________________________________________________________________
-
wealth is duly licensed:
e name and address of each member or manager who will render a professional service in the Commonwealth, and attach a
certificate of the applicable regulating board that each such member or manager who will render the service in the Common
(4b)
(4c) e limited liability company agrees to abide by and be subject to any conditions or limitations established by any applicable
regulating board including the provision of liability insurance required by G.L. c.156C § 65.
(5) e business address of its principal office:
(6) e business address of its principal office in the Commonwealth, if any:
(7) e name and business address, if different from principal office location, of each manager, if any, and if none, so state:
(8) e name and business address of each person authorized to execute, acknowledge, deliver and record any recordable
instrument purporting to affect an interest in real property recorded with a registry of deeds or district office 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 specified: ________________________________________________________________
(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 certificate of existence or good standing issued by an officer 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 filed with me this
________________20_____________at ________ am/pm.
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 filing fee in the amount of $
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 filing, a copy of this filing 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.
c156cs48fpllcregistration 10/14/08
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Completed 30 July 2020

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