Application For Certificate Of Authority Foreign Professional Limited Liability Company {PLLC-01} | Pdf Fpdf Doc Docx | North Carolina

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Application For Certificate Of Authority Foreign Professional Limited Liability Company {PLLC-01} | Pdf Fpdf Doc Docx | North Carolina

Application For Certificate Of Authority Foreign Professional Limited Liability Company {PLLC-01}

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 CERTIFICATE OF AUTHORITY FOR A FOREIGN PROFESSIONAL LIMITED LIABILITY COMPANY (Form PLLC-01) Item 1 Enter the complete name of the professional limited liability company (PLLC) exactly as it appears in the records of the appropriate official in the state or country of formation. If the name cannot be used in North Carolina, enter the name (including an applicable professional limited liability company ending) that it wishes to use in North Carolina. Enter the state or country of formation. Enter the principal office address of the PLLC. Enter the complete street address of the principal office and the county in which it is located. If mail is not delivered to the street address of the principal office or if you prefer to receive mail at a P.O. Box or Drawer, enter the complete mailing address of the principal office. Enter the mailing address of the PLLC's principal office address if different than the street address listed in item 3. Enter the complete street address of the PLLC's registered office and the county in which it is located. The registered office address must be located in North Carolina. Enter the complete mailing address, in North Carolina, of the PLLC's registered agent, only if mail is not delivered to the street address above or if you prefer to receive mail at a P.O. Box or Drawer. Enter the name of the registered agent. The registered agent must be a North Carolina resident, an existing domestic business corporation, nonprofit corporation or limited liability company, or a foreign business corporation, nonprofit corporation or limited liability company authorized to transact business or conduct affairs in North Carolina. Enter the names, titles, and usual business address of the current principal company officials of the LLC. Attach a current Certificate of Existence or document of similar import with filing. The Certificate of Existence cannot be more than six months old. If needed, a statement indicating a copy of the resolution of its managers adopting a fictitious name is attached. Enter the specific personal services to be rendered by the limited liability company. Enter the name of at least one company official who is licensee of the applicable licensing board that regulates the professional service that the PLLC renders. A certification from the applicable licensing board must be attached to the Articles of Organization. The certification must be an original unless the licensing board permits electronic certification. The document will be effective on the date and at the time of filing, unless a delayed date or an effective time (on the date of filing) is specified. If a delayed effective date is specified without a time, it will be effective at 11:59:59 p.m. 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 Item 12 Item 13 Item 14 Date and Execution Enter the date the document was executed. In the blanks provided enter: · The name of the limited liability company as it appears in Item 1. · The signature of the principal company official of the LLC executing the document. · The name and title of the above-signed principal company official. CORPORATIONS DIVISION Revised January, 2014 PO BOX 29622 RALEIGH, NC 27626-0622 Form PLLC-01 American LegalNet, Inc. www.FormsWorkFlow.com State of North Carolina Department of the Secretary of State APPLICATION FOR CERTIFICATE OF AUTHORITY FOREIGN PROFESSIONAL LIMITED LIABILITY COMPANY Pursuant to Sections 57D-2-02, 57D-7-03, and 55B-16 of the General Statutes of North Carolina, the undersigned limited liability company hereby applies for a Certificate of Authority to transact business in the State of North Carolina as a "foreign professional limited liability company" within the scope of N.C.G.S. Sections 57D-2-02 and 55B-16(b) and for that purpose submits the following: 1. The name of the limited liability company is __________________________________________________________; and if the limited liability company name is unavailable for use in the State of North Carolina, the name the limited liability company wishes to use is ___________________________________________________________________ 2. The state or country under whose laws the limited liability company was organized is: _________________________ 3. The street address of the principal office of the limited liability company in the state or country under whose law it is organized is: Number and Street: ______________________________________________________________________________ City: __________________________________________ State: ________________ Zip Code: _________________ 4. The mailing address if different from the street address of the principal office of the limited liability company in the state or country under whose law it is organized is: Number and Street or PO Box: ____________________________________________________________________ City: __________________________________________ State: ________________ Zip Code: _________________ 5. The street address and county of the registered office in the State of North Carolina is: Number and Street: _______________________________________________________________________________ City: ____________________ State: NC Zip Code: _____________ County ________________________________ 6. The mailing address if different from the street address of the registered office in the State of North Carolina is: Number and Street or PO Box: ______________________________________________________________________ City: ____________________ State: NC Zip Code: _____________ County ________________________________ 7. The name of the registered agent in the State of North Carolina is: _________________________________________ CORPORATIONS DIVISION Revised January, 2014 PO BOX 29622 RALEIGH, NC 27626-0622 Form PLLC-01 American LegalNet, Inc. www.FormsWorkFlow.com APPLICATION FOR CERTIFICATE OF AUTHORITY Page 2 8. The names, titles, and usual business addresses of the current company officials of the limited liability company are: (use attachment if necessary) Name and Title ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ Business Address ___________

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