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Statement Of Information LLC-12 - California

Statement Of Information Form. This is a California form and can be used in Domestic Limited Liability Companies Limited Liability Companies Secretary Of State .
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S ecr etary of S tate Bu sine ss P rogr a m s D iv ision S tatem en t of In form ation , P .O . B ox 9 4 42 30 , S acram en to, CA 9 42 44 -23 00 Changes to Requests for Copies of California Statements of Information Effective January 1, 2013 As of January 1, 2013, legislative changes from Senate Bill 1532 impact Statements of Information filed with the California Secretary of State's office on an annual and biennial basis. California Secretary of State will no longer endorse or certify customer-provided copies of Statements of Information. A copy of the filed statement may be requested at the time of filing by submitting a written request with your Statement of Information and including additional copy fees along with your Statement of Information fees. Copies are $1 for the first page and $ .50 for each additional page of the document. An additional $5 fee is required if requesting certification of the copy. If no fee is included with a submitted Statement of Information, copies can be obtained 3-4 days after filing by submitting a Business Entities Records Order Form in person to our Sacramento office or by mail. NOTE: The fastest way for a corporation to file their required Statement of Information is to file online using our online E-File Statements of Information for Corporations at https://businessfilings.sos.ca.gov/ and request a copy over the counter in our Sacramento office, if a copy or certified copy is needed. For the latest forms and fees, as well as information on SB 1532, visit us at www.sos.ca.gov. Updated forms are available on the Secretary of State website. SB 1532 Annual/Biennial Statements of Information (Rev. 01/11/2013) California Secretary of State www.sos.ca.gov/business/be (916) 657-5448 Instructions for Completing Form LLC-12 Every domestic and registered foreign limited liability company shall file a Statement of Information with the Secretary of State, within 90 days after the filing of its original Articles of Organization or Application for Registration, and biennially thereafter during the applicable filing period. The applicable filing period for a limited liability company is the calendar month during which its original Articles of Organization or Application for Registration were filed and the immediately preceding five calendar months. A limited liability company is required to file this statement even though it may not be actively engaged in business at the time this statement is due. Changes to information contained in a previously filed statement can be made by filing a new form, completed in its entirety. Legal Authority: Statutory filing provisions are found in California Corporations Code section 17702.09, unless otherwise indicated. All subsequent statutory references are to the California Corporations Code, unless otherwise stated. Failure to file this Statement of Information by the due date will result in the assessment of a $250.00 penalty. (Sections 17713.07(b) and 17713.09; California Revenue and Taxation Code section 19141.) Filing Fees: The fee for filing the initial or biennial Statement of Information is $20.00. Checks should be made payable to the Secretary of State. If this statement is being filed to change any information on a previously filed statement and is being filed outside the applicable filing period, as defined above, no fee is required. Copies: To get a copy of the filed statement, include a separate request and payment for copy fees when the statement is submitted. Copy fees are $1.00 for the first page and $.50 for each additional page. For certified copies, there is an additional $5.00 certification fee, per copy. Complete the Statement of Information (Form LLC-12) as follows: Item 1. Item 2. Item 3. Item 4. Enter the name of the limited liability company exactly as it is of record with the California Secretary of State. Enter the limited liability company number issued by the California Secretary of State. Enter the state or place under the laws of which the limited liability company is organized. If no Statement of Information has ever been filed or if there has been any change to the last Statement of Information filed with the Secretary of State, including a change to any address, complete this form in its entirety. If there has been no change in the information contained in the last Statement of Information filed with the Secretary of State, check the box and proceed to Item 15. Item 5. Item 6. Item 7. Enter the complete street address, city, state and zip code of the limited liability company's principal office. Please do not enter a P.O. Box address or abbreviate the name of the city. Enter the complete mailing address, city, state and zip code of the limited liability company if different from Item 5. This address will be used for mailing purposes. If the company is domestic, enter the complete street address, city and zip code of the office in California that is required to be maintained pursuant to Section 17701.13. If the company is foreign, enter the complete street address, city and zip code of the principle business office in California, if any. Please do not enter a P.O. Box address or abbreviate the name of the city. Enter the name and complete business or residential address of the chief executive officer, if any. Please do not abbreviate the name of the city. Enter the name and complete business or residential address of any manager or managers, appointed or elected in accordance with the Articles of Organization or Operating Agreement, or if no manager has been so elected or appointed, the name and business or residential address of each member. Attach additional pages, if necessary. Please do not abbreviate the name of the city. Enter the name of the agent for service of process in California. An agent is an individual (manager, member or any other person, whether or not affiliated with the company) who resides in California or a corporation designated to accept service of process if the company is sued. The agent must agree to accept service of process on behalf of the company prior to designation. Note: Before a corporation is designated as agent, that corporation must have previously filed with the California Secretary of State, a certificate pursuant to Section 1505. Note, a limited liability company cannot act as its own agent and no domestic or foreign corporation may file pursuant to Section 1505 unless the corporation is currently authorized to engage in business in California an
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