LLC Cert of Formation - 11/2021 Page 1 of 2
STATE OF ALABAMA
DOMESTIC LIMITED LIABILITY COMPANY (LLC)
CERTIFICATE OF FORMATION
PURPOSE: In order to form a Limited Liability Company (LLC) under Section 10A-5A-2.01 of the Code of Alabama
1975, this Certificate of Formation and the appropriate filing fees must be filed with the Office of the Secretary of
State. The information required in this form is required by Title 10A.
INSTRUCTIONS: Mail 2 copies of this completed form along with a self-addressed, stamped envelope to:
*Secretary of State, Business Services, P.O. Box 5616, Montgomery, Alabama 36103.
*Include a check, money order, or credit card payment for the $200.00 processing fee.
*The Secretary of State shall pay the sum of $100.00 to the county treasurer for the county in which the office of the
initial registered agent for that entity is located.
*You may file the Certificate of Formation online in the time it takes to type this request.
*The Certificate will not be registered if the credit/debit card does not authorize and will be removed from the index if
the check is dishonored ($30 fee).
1. The name of the limited liability company (must contain the words “Limited Liability Company” or the abbreviation
“L.L.C.” or “LLC,” and comply with Code of Alabama, Section 10A-1-5.06. You may use Professional or
Series before Limited Liability Company or LLC (or PLLC or SLLC) if they apply:
2. A copy of the Name Reservation Certifica
te from the Office of the Secretary of State must be attached.
3. The name of the r
egistered a
gent (only one agent):
Street (
n
o PO
Boxes
)
ad
dress of
registered office (must be located in Alabama):
*COUNTY of above address:
Mailing address in Alabama of registered office (if different from street address):
4. The undersigned certify that there is at least one member of the limited liability company.
This form was
prepared by: (type name and full address)
(For SOS Office Use Only)
This form must be typed and will not be accepted via email.
DOMESTIC LIMITED LIABILITY COMPANY (LLC) CERTIFICATE OF FORMATION
LLC Cert of Formation 11/2021 Page 2 of 2
5. Check only if the type applies to the Limited Liability Company being formed:
Series LLC complying with Title 10A, Chapter 5A, Article 11
Professional LLC complying with Title 10A, Chapter 5A, Article 8
Non
-Profit LLC complying with Section 10A-5A-1.04(c)
6. The filing of
the limited liability company is effective immediately on the date received by the office of the Secretary
of State, Business Services Division or at the delayed filing date (cannot be prior to the filing date) specified in
this filing complying with Section 10A-1-4.12
The undersigned specify / / as the effective date (must be on or after the date filed in the
office of the Secretary of State, but no later than the 90th day after the date this instrument was signed) and the time
of filing to be : AM or PM. (cannot be noon or midnight – 12:00)
Attached are any other matters the members determine to include herein (if this item is checked there must be
attachments with the filing).
Date (MM/DD/YYYY) Signature as required by 10A-5A-2.04
Typed name of above signature
Typed title (organizer or attorney-in-fact)
Additional organizers/attorney-in-facts may sign (add additional sheets if necessary).
*County of Registered Agent is requested in order to determine distribution of County filing fees.
/
/
Domestic Formation Credit Card/Prepaid Account Payment Slip – 11/2021
Secretary of State Credit Card or Prepaid Payment Option/Return/Hold Sheet: If you do not send
an acknowledgement copy and a pre-addressed postage paid envelope with the filing you will not receive
a receipt from the Secretary of State’s Office. Hold for pickup request will have the receipt attached. The
document of record will be stamped showing the receipt of the filing fee but will not show convenience
fees (generally these fees are between 2% and 5% of the total charge).
Information MUST be typed or filing will be returned without review.
Entity Name:
Service Requested: X $200.00 Formation filing fee
Hold at Front Desk for pick-up by:
There is no notification service/call for pick-up.
Choose one of the following:
Check/money order is attached-Please make one check payable for each filing to the Alabama
Secretary of State. Do not use one check for multiple filings.
Charge fees to prepaid account: Account Number
and Account Name
Typed Name & Signature of Authorized Individual on Account
Credit Card Type: (Visa, MC, Discover & AmEx)
Card Number: Expiration Mo/Yr.: / (MM/YY)
Card Holder Name:
Complete Billing Address:
Street or PO Box
City State Zip
Signature of Card Holder:
MUST be Signature of Card Holder