Organization for Limited Liability Company

The domestic entity name of the limited liability company is

Please provide 3 choices for the name, in order of preference, so in the event your preferred choice is not available we can proceed with your next choice. The name of a limited liability company must contain the term or abbreviation “limited liability company”, “ltd. Liability company”, “limited liability co.”, “ltd. Liability co.”, “limited”, “l.l.c.”, “llc”, or “ltd.”

1st Choice*

2nd Choice

3rd Choice

The principal office street address of the limited liability company’s initial principal office

(Street number and name or Post Office Box information) Address Line 2 City State ZIP Code

The principal office mailing address

(Street number and name or Post Office Box information) Address Line 2 City State ZIP Code

The registered agent

Name

First Middle Last Suffix

OR

If an entity

(Entity Name)

Street address

(Street number and name or Post Office Box information) Address Line 2 City State ZIP Code

Mailing address

(Street number and name or Post Office Box information) Address Line 2 City State ZIP Code

The person appointed as registered agent has consented to being so appointed.

Person forming the limited liability company

Name

First Middle Last Suffix

OR

If an entity

(Entity Name)

Street address

(Street number and name or Post Office Box information) Address Line 2 City State ZIP Code

Mailing address

(Street number and name or Post Office Box information) Address Line 2 City State ZIP Code

The limited liability company has one or more additional persons forming the limited liability Company and the name and mailing address of each such person are stated in an attachment.

The management of the limited liability company is vested in

One or more managers
The members.

Members

There is at least one member of the limited liability company.

The delayed effective date and, if applicable, time of this document is/are

Time

:

The true name and mailing address of the individual causing the document to be delivered for filing are

First Middle Last Suffix

(Street number and name or Post Office Box information) Address Line 2 City State ZIP Code

This document contains the true name and mailing address of one or more additional individuals causing the document to be delivered for filing.

Contact Information

Name

First Last

Email*

Enter Email Confirm Email

Phone*

Application Fee

Price:

Please select an additional service that you wish to have processed

Priority Request / Rush Processing + $75

Total

$0.00

Consent

I agree

I CERTIFY THAT THE RECITATIONS CONCERNING THE VESSEL: NAME, TONNAGE, DIMENSIONS, PROPULSION, OWNERSHIP, HAILING PORT, RESTRICTIONS, ENTITLEMENTS, REMARKS AND ENDORSEMENTS CONTAINED IN THE CERTIFICATE OF DOCUMENTATION REMAIN ABSOLUTELY THE SAME.

NAME:*

Type your full name to sign this secure webform

Signature*

CAPACITY OF PERSON SIGNING (E.G., AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)

Authorization*

I agree

I agree to pay the above total amount according to the card issuer agreement and hereby authorize the charge for the total amount above for the processing of selected applications. I understand that my application will be processed in the order in which it is received by Corporation Center, a private fee-for-service company, not owned or operated by any governmental agency. I understand that application and processing fees are non-refundable as per Corporation Center’s no refund policy.

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