SUBMIT ORIGINAL AND A COPY
TYPE OR PRINT LEGIBLY
Foreign Limited Liability Company
APPLICATION FOR REGISTRATION
The undersigned limited liability company, in order to apply for a Certificate of Registration to transact
business in New Mexico under the Limited Liability Company Act, submits the following statement to
the Secretary of State:
1.
The name of the limited liability company is: ______________________________________________
_________
____________________________________________________________________________
2. If it proposes to transact business in New Mexico under a different name, the name it elects for use
in New Mexico is:
_____________________________________________________________________________________
3. It is organized under the laws of:
_____________________________________________________________________________________
4. The date of organization in its domestic state is:
_____________________________________________________________________________________
5. If so required by the laws of the domestic state, the address of the office required to be maintained
in the domestic state is:
_____________________________________________________________________________________
_____________________________________________________________________________________
6. If the laws of the domestic state do not require an address to be maintained in that state, then the
address of the principal office of the limited liability company is:
_____________________________________________________________________________________
_____________________________________________________________________________________
7. The street address of the registered office in New Mexico is:
_____________________________________________________________________________________
(P.O. Box is not acceptable. Provide a description of the geographical location if a street address does
not exist)
325 Don Gaspar, Suite 300 Santa Fe, NM 87501
(800) 477-3632 www.sos.state.nm.us
The name of the registered agent at the address of the New Mexico registered office is:
_____________________________________________________________________________________
8. The names of the persons in whom management of the limited liability company is vested are:
_____________________________________________________________________________________
_____________________________________________________________________________________
The company is a foreign limited liability company as defined in Section 2 of the New Mexico Limited
Liability Company Act. The Secretary of State is appointed the agent of the foreign limited liability
company for service of process if, upon resignation of the appointed registered agent no agent has been
appointed, or, if appointed, the agent’s authority has been revoked or the agent cannot be found or
served in the exercise of reasonable diligence.
Dated: ______________________ ____________________________________________________
Name of Limited Liability Company
By__________________________________________________
Signature of Authorized Person
THIS APPLICATION MUST BE ACCOMPANIED BY A CERTIFICATE OF GOOD STANDING / EXISTENCE,
ISSUED BY THE APPROPRIATE OFFICIAL CUSTODIAN OF LIMITED LIABILITY COMPANY RECORDS FOR THE
STATE OR COUNTRY UNDER THE LAWS OF WHICH THE COMPANY IS ORGANIZED. THIS CERTIFICATE
MUST BE ORIGINAL OR ELECTRONICALLY ISSUED, AND MUST BE CURRENT WITHIN THIRTY DAYS OR HAS
NOT EXPIRED, UPON SUBMISSION TO THE SECRETARY OF STATE.
Form FLLC
(revised 06/13)
325 Don Gaspar, Suite 300 Santa Fe, NM 87501
(800) 477-3632 www.sos.state.nm.us
STATEMENT OF ACCEPTANCE OF APPOINTMENT
BY DESIGNATED INITIAL REGISTERED AGENT
I, ______________________________________________________________________, hereby
acknowledge that the undersigned individual or corporation accepts the appointment as Initial
Registered Agent of ________________________________________________, the limited liability
company which is named in the annexed Application for Registration of Foreign Limited Liability
Company.
_______________________________________________________
(Sign on this line if the registered agent named in the application is an individual.
If this line is signed, the two lines below do not apply and must be left blank.)
(If the following lines are used, the signature line above does not apply and must be left blank)
_______________________________________________________
(If the registered agent named in the application is a corporation, limited liability Company, or
partnership, type or print the name of that entity here.)
By_____________________________________________________
(An authorized person of the entity being appointed as registered agent must sign here)
Form FLLC-STMNT
(revised 06/13)
325 Don Gaspar, Suite 300 Santa Fe, NM 87501
(800) 477-3632 www.sos.state.nm.us