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Application For Amended Certificate Of Authority Professional Limited Liability Company PLLC-03 - North Carolina
| Application For Amended Certificate Of Authority Professional Limited Liability Company Form. This is a North Carolina form and can be used in Professional LLC Secretary Of State . |
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State of North Carolina Department of the Secretary of State APPLICATION FOR AMENDED CERTIFICATE OF AUTHORITY (PROFESSIONAL LIMITED LIABILITY COMPANY) Pursuant to 57C-7-05 and Chapter 55B of the General Statutes of North Carolina, the undersigned limited liability company hereby applies for an Amended Certificate of Authority to transact business in the State of North Carolina, and for that purpose submits the following statement. 1. The name of the limited liability company is:_______________________________________________ 2. The name the limited liability company is using in the State of North Carolina is: ____________________________________________________________________________________ 3. The state or country of organization is:____________________________________________________ 4. The date the limited liability company was authorized to transact business in the State of North Carolina is:__________________________________________________________________________________ 5. The personal services to be rendered by the limited liability company are:_________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 6. With respect to each professional service practiced or to be practiced through the limited liability company in this State, the name of at least one of the limited liability companys managers who is a licensee of the licensing board which regulates such profession in this State is: (insert name here) 7. Attached are certifications by the appropriate licensing boards that each person set forth in Item 6 above is a licensee as defined in N.C.Gen. Stat. 55B-2(2). 8. This application is filed for the following reason (complete all applicable items): a. The limited liability company has changed its corporate name to:_________________________ _____________________________________________________________________________ b. The name the limited liability company will hereafter use in the State of North Carolina is changed to:____________________________________________________________________ c. The limited liability company has changed its period of duration to:_______________________ d. The limited liability company has changed the state or country of its organization to: _____________________________________________________________________________ e. (Other)_______________________________________________________________________ _____________________________________________________________________________ (Revised January 2000) (Form PLLC-03)CORPORATIONS DIVISION P. O. BOX 29622 RALEIGH, NC 27626-0622 <<<<<<<<<********>>>>>>>>>>>>> 2 Application for Amended Certificate of Authority (PLLC-03) Page Two 9. Attached is a certificate setting forth and attesting to the change, duly authenticated by the secretary of state or other official having custody of limited liability company records in the state or country of organization. 10. If the limited liability company is required to use a fictitious name in order to transact business in this State, a copy of the resolution of its managers adopting the fictitious name is attached. 11. This application will be effective upon filing, unless a date and/or time not later than 90 days after the date of filing is specified:_________________ This the _____ day of __________________, 20____ By executing this application on behalf of the applicant limited liability company, I certify under oath that the undersigned limited liability company is a foreign professional limited liability company within the scope of N.C.G.S. Sections 57C-2-01 and 55B-16(b). __________________________________________ Name of Limited Liability Company __________________________________________ Signature of Manager __________________________________________ Type or Print Name and Title___________________ (site of acknowledgment) ___________________ This ____ day of ____________, 20____, personally came before me, __________________________, Notary Public, _______________________, who, being by me duly sworn, says that he/she is _____________________ of __________________________________, a professional limited liability company, and that this Application for Amended Certificate of Authority was signed by him/her on behalf of theprofessional limited liability company by its authority duly given. And the said ______________________ acknowledged the said writing to be the act and deed of said professional limited liability company. Witness my hand and official seal, this the ____ day of ________________, 20____. (Official Seal) ____________________________________ Notary PublicMy Commission Expires ______________, 20____ NOTES: 1. Filing fee is $50. This application and one exact or conformed copy of this application must be filed with the Secretary of State.2. Only a foreign professional limited liability company may use this application. To determine whether a particular limited liability company is such a foreign professional limited liability company, it is necessary to examine the requirements of N.C.G.S. Sections 57C-2-01(c) and 55B-16(b). If the company does not meet those requirements, it must use the standard form for a limited liability company.(Revised January 2000) (Form PLLC-03)CORPORATIONS DIVISION P. O. BOX 29622 RALEIGH, NC 27626-0622 <<<<<<<<<********>>>>>>>>>>>>> 3 Instructions for Filing APPLICATION FOR AMENDED CERTIFICATE OF AUTHORITY (PROFESSIONAL LIMITED LIABILITY COMPANY) (Form PLLC-03) Item 1 Enter the complete name of the limited liability company exactly as it appears on the Certificate of Authority. Item 2 Enter the limited liability company name used in North Carolina exactly as it appears on the Certificate of Authority. Item 3 Enter the state or country of organization. Item 4 Enter the date the limited liability company was authorized to transact business in North Carolina.Item 5 Enter the personal services to be rendered by the limited liability company in North Carolina.Item 6 Enter the name of at least one manager of the limited liability company who is a licensee of the licensing board which regulates the practice of each professional service to be rendered in North Carolina. Item 7 See form. Item 8 Enter the changes being made to the information contained in the previous Certificate of Authority. If the name of the limited liability company as changed is unavailable for use in North Carolina, indic
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