Rhode Island > Secretary Of State > Limited Liability Company
Limited Liability Company Annual Report 632 - Rhode Island
| Limited Liability Company Annual Report Form. This is a Rhode Island form and can be used in Limited Liability Company Secretary Of State . |
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Matthew A. Brown, Secretary of State STATE OF RHODE ISLAND Corporations Division 100 North Main Street, Providence, RI 02903-1335 AND PROVIDENCE PLANTATIONS 401.222.3040 Office of the Secretary of State LIMITED LIABILITY COMPANY ANNUAL REPORT FOR THE YEAR Filing Period: September 1 - November 1 Filing Fee: $50.00 (FORM MUST BE TYPED OR PRINTED IN BLACK) 1. ID No. 2. Exact name of the limited liabilty company 3. State of Formation 4. Brief description of the character of the business which is actually conducted in Rhode Island 5. Principal office address City State Zip aaaaaaaa 6. MAILING ADDRESS OF LIMITED LIABILITY COMPANY AND NAME OR TITLE OF CONTACT PERSON: Contact Name Contact Title Street Address City State Zip 7. NAME AND ADDRESS OF EACH MANAGER OF THE LIMITED LIABILITY COMPANY, IF APPLICABLE aaaaaaaaaaaaaaaaaaaaaFILL IN SPACES BEFORE USING ATTACHMENTS (X BOX FOR ATTACHMENT) ANY MODIFICATIONS TO MANAGERS REQUIRES FILING OF AMENDMENT. R.I.G.L 7-16-12 (a) (2) / 7-16-52 Manager Name Manager Name Street Address Street Address City State Zip City State Zip aaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa Manager Name Manager Name Street Address Street Address City State Zip City State Zip 8. RESIDENT AGENT IN RHODE ISLAND -DO NOT ALTER- Changes require filing of Form 642 - R.I.G.L. 7-16-11 Agent Name Address Address City Zip This report must be signed in ink by an authorized person pursuant to 7-16-66. Under penalty of perjury, I declare and affirm that I have examined this report, including any accompanying schedules and statements, and that all statements contained herein are true and correct. File Date Check No. Signature of Authorized Person Date By: FOR SECRETARY OF STATE USE ONLY Print or Type Name of Authorized Person Form 632 Rev. 6/02<<<<<<<<<********>>>>>>>>>>>>> 2 INSTRUCTIONS FOR FILING A LIMITED LIABILITY COMPANY ANNUAL REPORT- Form 632 To avoid possible delays, please read all instructions carefully before completing the report. (THE INFORMATION MUST BE TYPED OR PRINTED IN BLACK ON THE REPORT) _________________________________________________________________________________________________ All sections, including the signature and date, must be completed on Form No. 632 furnished by the office of the Secretary of State; otherwise, the report will be returned to you. The report must be dated and signed in ink by an authorized person of a domestic limited liability company and by a person with authority to do so under the laws of the state or other jurisdiction of organization of a foreign limited liability. Photocopies, fax copies, or signature stamps will not be accepted. Annual Reports are to be filed annually between the first day of September and the first day of November. Failure to file the report and filing fee may result in revocation of the Certificate of Organization or the Certificate of Registration. ______________________________________________________________________________________________________ _____ Section 1. This section lists the entity identification number. DO NOT ALTER THIS NUMBER. Please include this number on your check and refer to it in any correspondence or filings with the Corporations Division. Section 2. This section states the exact name of the limited liability company as it appears on the articles of organization or latest amendment. DO NOT ALTER THIS SECTION. If the name has changed, an amendment must be filed with this office. Articles of Amendment forms (Domestic Limited Liability Companies) or Amendment to Application for Registration forms (Foreign Limited Liability Companies) can be obtained by calling (401) 222-3040 or logging onto our website at www.state.ri.us. Section 3. The state or other jurisdiction of organization has been pre-printed. If the information is incorrect, please contact this office. Section 4. Provide a brief statement of the character of the business in which the limited liability company is engaged in this state. Section 5. Provide the address of the principal office of the limited liability company. Section 6. Provide the current mailing address and the name or title of a person to whom communications may be directed. Section 7. If applicable, provide the name(s) and address(es) of the limited liability companys manager(s), that were listed on the Articles of Organization, Certificate of Registration, or subsequent amendment. DO NOT USE THE ANNUAL REPORT TO RECORD A CHANGE IN MANAGERS. ANY MODIFICATION TO MANAGERS REQUIRES FILING AN AMENDMENT. Amendment forms can be obtained by calling (401) 222-3040 or logging onto our website at www.state.ri.us. DO NOT LIST MEMBERS IN THIS SECTION. Section 8. The name and address of the limited liability companys resident agent has been pre-printed. DO NOT ALTER THIS SECTION. If there has been a change in the name or address of the resident agent, a Statement of Change must be filed with this office. A Statement of Change of Resident Agent/Address form can be obtained by calling (401) 222-3040 or logging onto our website at www.state.ri.us. 06/02
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