Free L-111 Restated Certificate of Formation - LLC - New Jersey


File Size: 181.6 kB
Pages: 2
Date: February 15, 2006
File Format: PDF
State: New Jersey
Category: Government
Author: Division of Revenue
Word Count: 455 Words, 2,866 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.state.nj.us/treasury/revenue/dcr/pdforms/l111_42.pdf

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L-111 (4/94)

New Jersey Division of Revenue Restated Certificate of Formation
(For use by a Limited Liability Company) This form may be used to restate the Certificate of Formation of a Limited Liability Company on file with the Division of Revenue, as previously amended or supplemented by any instrument that was executed and filed pursuant NJSA 42. 1. Name of Limited Liability Company: 2. Identification Number: 3. Other Provisions: 4. Attachments:

The undersigned represent(s) that this filing complies with State law as detailed in NJSA 42 and that they are authorized to sign this form on behalf of the LLC. The undersigned also attest that this restated certificate ONLY RESTATES AND INTEGRATES previous filings, and that this certificate DOES NOT further amend, in any respect, the Certificate of Formation, as previously amended or supplemented.

Signature: Name:

Date:

NJ Division of Revenue, PO Box 308, Trenton NJ 08646

Rev 2/15/06

Instructions for Form L-111 RESTATED CERTIFICATE - LIMITED LIABILITY COMPANY RESTATED ONLY (Title 42:2B) This form is used to restate the Certificate of Incorporation filed in New Jersey. It takes all amendments previously filed and restates them as one document. If you are amending instead of restating the Certificate of Incorporation, you should file Form L-102 Certificate of Amendment. If you are both amending and restating the Certificate of Incorporation, file Form L112. STATUTORY FEE: $100 The MANDATORY fields are: Field #1 --Business Name List the name as it appears on the records of the State Treasurer. Field #2 -- Identification Number Provide the 10-digit corporation number as issued by the State of New Jersey. Field #3 -- OTHER PROVISIONS (as needed) Specify other information such as the effective date if it is other than the filing date. The effective date cannot be before the filing date nor can it be more than 30 days after the filing date. The filing date is the date the document is received for processing. Field #4 -- ATTACHMENTS (if applicable) Include a list of discrepancies between the existing and restated certificate. ATTESTATIONS Add statements that indicate that the signers are authorized to sign on behalf of the LLC, and that the intent is to restate and integrate previous filings only. Form L-111 provides the statements. EXECUTION (Signature/Date) An authorized representative must sign. Also, list the date of execution (signature).
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These documents should be filed in duplicate. Make checks payable to: TREASURER, STATE OF NEW JERSEY. (No cash, please) Mail to: NJ Division of Revenue, PO Box 308, Trenton NJ 08646 FAX File: 609.984.6851 (Fax Filing is an optional expedited service subject to processing fees that are in addition to those stated above. For FAX Filing information , visit http://www.state.nj.us/treasury/revenue/dcr/programs/ffs.html. )