Limited Liability Company

Contact Information

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Enter Email Confirm Email

Phone*

The name of the limited liability company

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. Must include “Limited Liability Company,” “Limited Company,” “LC,” “L.C.,” “L.L.C.,” or “LLC”.

1st Choice

2nd Choice

3rd Choice

The purpose(s) for which the limited liability company is organized:

Name of the company's registered agent:

First Last

Street Address: May not use PO Box unless street address also provided

Street Address Address Line 2 City State ZIP Code

The management of the limited liability company is vested in:

managers
members

The events, if any, on which the limited liability company is to dissolve or the number of years the limited liability company is to continue, which may be any number or perpetual:

The answer to this question could cause possible tax consequences, you may wish to consult with your attorney or accountant)

Name of Organizer

First Last

Address of Organizer (PO box may only be used in addition to a physical street address)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Organizer

First Last

Address of Organizer (PO box may only be used in addition to a physical street address)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Organizer

First Last

Address of Organizer (PO box may only be used in addition to a physical street address)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Check if Applicable

Series LLC (OPTIONAL) Pursuant to Section 347.186, the limited liability company may establish a designated series in its operating agreement. The names of the series must include the full name of the limited liability company and are the following:

Check one:

The limited liability company gives notice that the series has limited liability
The limited liability company gives notice that the series has limited liability.
The limited liability company gives notice that the series has limited liability.

OPTIONAL - Principal Office Contact

First Last

OPTIONAL - Principal Office Address

Street Address Address Line 2 City State ZIP Code

Effective Date

Effective Date of this document

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.

Credit Card

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