| Lines | Type or print in black ink |
| 1 | Limited liability company name |
| 2 | Your file number - the number stamped on your Articles of Organization. |
| 3 | "California" assuming your LLC was organized in California. |
| 4 | Street address of your principal executive office. This office
may be out of state. |
| 5 | Street address of your office located in California. Limited
liability companies are required to maintain a physical office in California. |
| 6 | Your agent for service. This must be a person or a corporation willing
to receive any legal notifications on behalf of the limited liability company. If the agent for
service is a person, enter their address - no P.O. Boxes. |
| 8 | Briefly describe your type of business. |
| 9-11 | This kit assumes that the members will manage the LLC, so you
should list each member of the LLC and their address. If you want to use managers (non-members)
to run your business, contact an attorney to ask if changes are necessary in your Articles of
Organization or your Operating Agreement. Then list your managers' names and addresses here.
Attach additional pages if necessary. |
| 12 | Signature of a member. A form with the original signature
must be mailed to the Secretary of State's office. |
