Free Foreign Limited Liability Company Registration - Washington

Foreign Limited Liability Company
See attached detailed instructions

Filing Fee $180.00 Filing Fee with Expedited Service $200.00

UBI Number:

FOREIGN LIMITED LIABILITY COMPANY REGISTRATION
Chapter 25.15 RCW SECTION 1
NAME OF LIMITED LIABILITY COMPANY: (As recorded in the state/country of formation) ____________________________________________________________________________ (Must contain one of the following designations: Limited Liability Company, Limited Liability Co or one of these abbreviations: L.L.C. or LLC. See instructions page for use of names.) NAME TO BE USED IN WASHINGTON STATE: (If different than above)

SECTION 2
STATE OR COUNTRY WHERE ORIGINALLY FORMED: DATE OF ORIGINAL FORMATION: (Certificate of Existence or similar import must be attached, see instructions page for this section)

SECTION 3
ADDRESS OF THE PRINCIPAL PLACE OF BUSINESS: Street Address___________________________City___ _ ___State/Country ___State/Country Zip__________ Zip__________

PO Box_________________________________City___ _

SECTION 4
EFFECTIVE DATE OF REGISTRATION: (Please check one of the following) Upon filing by the Secretary of State Specific Date: __________________ (Specified effective date must be within 90 days AFTER the Certificate of Registration has been filed by the Office of the Secretary of State)

LLC ­ Foreign Registration

Washington Secretary of State

This Box For Office Use Only

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Revised 05/09

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SECTION 5
TENURE: (Please check one of the following and indicate the date if applicable) Perpetual existence Specific term of existence _______________ (Number of years or date of termination)

SECTION 6
DATE THE LLC BEGAN DOING BUSINESS IN WASHINGTON STATE:

SECTION 7
NATURE OF BUSINESS IN WASHINGTON STATE:

SECTION 8
NAME AND ADDRESS OF THE WASHINGTON STATE REGISTERED AGENT: Name: ____________________________________________________________________________ Physical Location Address (required): ______________________________________________________________ City _____________________________________________ WA Zip Code ____________ Mailing or Postal Address (optional): _______________________________________________________________ City _____________________________________________ WA Zip Code _____________ CONSENT TO SERVE AS REGISTERED AGENT: I consent to serve as Registered Agent in the State of Washington for the above named Limited Liability Company. I understand it will be my responsibility to accept Service of Process on behalf of the Limited Liability Company; to forward mail to the Limited Liability Company; and to immediately notify the Office of the Secretary of State if I resign or change the Registered Office Address. X___________________________________________________________________________ Signature of Registered Agent Printed Name Date

SECTION 9
NAME, ADDRESS AND SIGNATURE OF MEMBER OR MANAGER: (If necessary, attach additional names, addresses and signatures) Name: __________________________________________________________________________________ Address: _______________________________City___________________State _Zip Code

This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct.

X_______________________________________________________________________________________ Signature Printed Name/Title Date Phone
Notice: The Washington Secretary of State will be appointed the agent of the foreign limited liability company for service of process under the circumstances set forth in RCW 25.15.355(2)

LLC ­ Foreign Registration

Washington Secretary of State

Revised 05/09

INSTRUCTIONS ­ FOREIGN LIMITED LIABILITY COMPANY REGISTRATION
Please complete all sections of the Foreign Limited Liability Company Registration. USE DARK INK ONLY. For an electronic, fillable version of this form, please visit our website at www.secstate.wa.gov/corps Section 1: Enter the name of the Foreign Limited Liability Company as recorded in the original state/country of formation. If registering a different name in Washington State, then include both names. The name of the LLC must be distinguishable upon the records of the Secretary of State from any other formally organized entity registered with the Secretary of State's office. It is advised that you contact the Secretary of State (360-725-0377) to check for name availability before filing. Section 2: Enter the state/country and the date of the original incorporation. You must attach a Certificate of Existence or similar import issued no longer than 60 days before the date of this filing showing the Limited Liability Company exists under the laws of the jurisdiction of its formation. Copies of articles from other states do not satisfy the requirements for Certificate of Existence or similar import. For more information please see RCW 25.15.315(2) or call (360-725-0377). Section 3: Enter the address of the Limited Liability Company's principal place of business. Section 4: Choose either upon filing by the Secretary of State or you may indicate an effective date. The effective date can be up to 90 days AFTER filing of the Foreign LLC Registration by the Office of the Secretary of State. Section 5: Perpetual (i.e. ongoing until dissolved) or list a specific date or a specific number of years. Section 6: List the date the Limited Liability Company began conducting business in Washington State. If business began prior to this filing please contact our office for additional fee information at 360-725-0377. Section 7: State the nature of business to be conducted in Washington State. Section 8: All Limited Liability Companies must have a registered agent in Washington State. The registered agent may be an individual who is a resident of Washington State, or a business entity registered with the Secretary of State's office. The agent must have a physical address in Washington State where they can be located. An alternative mailing address may be used in addition to the physical address. The mailing address must also be in Washington State. The registered agent must print their name and sign the consent to serve as registered agent. Section 9: This form requires the name, address, title and signature of the member or manager registering the Limited Liability Company. Notice: The Secretary of State will be appointed the agent of the foreign limited liability company for service of process under the circumstances set forth in RCW 25.15.355(2) Additional Information: You may attach any optional provisions to this certificate (please do not attach operating agreements or minutes, these items are not filed with this office). FEES: The filing fee for the Certificate of Registration is $180.00 If expedited service is requested then include an additional $20.00 per submission and write "EXPEDITE" on the outside of the envelope. Make the checks or money orders payable to "Secretary of State". Filing and Expedite Fees are Non Refundable. Mail completed forms and payment to: Secretary of State Corporations Division 801 Capitol Way S PO Box 40234 Olympia WA 98504-0234 If you have questions, need assistance, or would like to provide feedback please visit the Corporations Division website at www.secstate.wa.gov/corps or call 360-725-0377. LLC ­ Foreign Registration Washington Secretary of State
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Revised 05/09