Application For Amended Certificate Of Authority Professional Limited Liability Company {PLLC-03} | Pdf Fpdf Doc Docx | North Carolina

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Application For Amended Certificate Of Authority Professional Limited Liability Company {PLLC-03} | Pdf Fpdf Doc Docx | North Carolina

Application For Amended Certificate Of Authority Professional Limited Liability Company {PLLC-03}

This is a North Carolina form that can be used for Professional LLC within Secretary Of State.

Alternate TextLast updated: 4/13/2015

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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 current Certificate of Authority. Enter the limited liability company name used in North Carolina exactly as it appears on the current Certificate of Authority. Enter the state or country of organization. Enter the date the limited liability company was authorized to transact business in North Carolina. Enter the personal services to be rendered by the limited liability company in North Carolina. Enter the name of at least one Company Official 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. See form. 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, indicate this fact and state the name the limited liability company wishes to use in North Carolina on 8b. (See N.C.G.S. § 55D-22) See form. See form. The document will be effective on the date and at the time of filing, unless a delayed date or an effective time (on the day of filing) is specified. If a delayed effective date is specified without a time, the document will be effective at 11:59 p.m. Raleigh, North Carolina time on the day specified. If a delayed effective date is specified with a time, the document will be effective on the day and at the time specified. A delayed effective date may be specified up to and including the 90th day after the day of filing. Item 2 Item 3 Item 4 Item 5 Item 6 Item 7 Item 8 Item 9 Item 10 Item 11 CORPORATIONS DIVISION (Revised January 2014) P. O. BOX 29622 RALEIGH, NC 27626-0622 (Form PLLC-03) American LegalNet, Inc. www.FormsWorkFlow.com State of North Carolina Department of the Secretary of State APPLICATION FOR AMENDED CERTIFICATE OF AUTHORITY (PROFESSIONAL LIMITED LIABILITY COMPANY) Pursuant to § 57D-7-04 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. 2. The name of the limited liability company is:_______________________________________________ The name the limited liability company is using in the State of North Carolina is: ____________________________________________________________________________________ 3. 4. 5. The state or country of organization is:____________________________________________________ The date the limited liability company was authorized to transact business in the State of North Carolina is:__________________________________________________________________________________ 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 company's Company Officials who is a licensee of the licensing board which regulates such profession in this State is: (insert name here) ___________________________________________________________________________________ 7. 8. 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.G.S. § 55B-2(2). This application is filed for the following reason (complete all applicable items): a. b. The limited liability company has changed its company name to:_ __________________________________________________________________________ The name the limited liability company will hereafter use in the State of North Carolina is changed to:____________________________________________________________________ CORPORATIONS DIVISION (Revised January 2014) P. O. BOX 29622 RALEIGH, NC 27626-0622 (Form PLLC-03) American LegalNet, Inc. www.FormsWorkFlow.com Application for Amended Certificate of Authority (Professional Limited Liability Company) Page 2 c. d. The limited liability company has changed the state or country of its organization to: _____________________________________________________________________________ (Other)_______________________________________________________________________ _____________________________________________________________________________ 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. 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. 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____. 10. 11. 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 57D-2-02 and 55B-16(b). __________________________________________ Name of Limited Liability Company __________________________________________ Signature of Company Official __________________________________________ Type or Print Name and Title CORPORATIONS DIVISION (Revised January 2014) P. O. BOX 29622 RALEIGH, NC 27626-0622 (Form PLLC-03) American LegalNet, Inc. www.FormsWorkFlow.com Application for Amended Certificate of Authority (Professional Limited Liability Company) Page 3 _________________________ (State document is signed in) _________________________ (County document is signed in) This ____ day of ____________, 20____, personally came before me, __________________________, (Notary Public) Notary Public, _______________________, who, being by me duly sworn, says that he/she is (Name of Company Official) _______________________ of ______________________

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