Fillable Ma Llc Form (How to Start a Business)

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Ma Llc 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
D
Limited Liability Company
Certicate of Organization
(General Laws Chapter 156C, Section 12)
_____________________________
Federal Identication No.:
(1) e exact name of the limited liability company:
________________________________________________________________________________________________
(2) e street address of the oce in the commonwealth at which its records will be maintained:
(3) e general character of the business:
___________________________________________________________________
(4) Latest date of dissolution, if specied:
(5) e name and street address, of the resident agent in the commonwealth:
ADDRESSNAME
(6) e name and business address, if dierent from oce location, of each manager, if any:
ADDRESSNAME
(7) e name and business address, if dierent from oce location, of each person in addition to manager(s) authorized to
execute documents led with the Corporations Division, and at least one person shall be named if there are no managers:
NAME ADDRESS
(8) e name and business address, if dierent from oce location, 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) Additional matters:
________________________________________________________________ Signed by (by at least one authorized signatory):
Consent of resident agent:
__________________________________________________________________________________________________ ,I
resident agent of the above limited liability company, consent to my appointment as resident agent pursuant to G.L. c 156C § 12*
*or attach resident agent’s consent hereto.
COMMONWEALTH OF MASSACHUSETTS
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Limited Liability Company Certicate
(General Laws Chapter 156C, Section 12)
to have been led with me this
_______
I hereby certify that upon examination of this limited liability company certicate,
duly submitted to me, it appears that the provisions of the General Laws relative
thereto have been complied with, and I hereby approve said application; and the
ling fee in the amount of $ having been paid, said application is deemed
________________ day of ________________, 20 _____, at _______a.m./p.m.
time
Eective date:_____________________________________________________
WILLIAM FRANCIS GALVIN
Secretary of the Commonwealth
Filing fee: $500
TO BE FILLED IN BY LIMITED LIABILITY 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.
c156c512dllccert 10/6/11
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Ma Llc Form (How to Start a Business)

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Completed 30 July 2020

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