Young Entrepreneurs Act Filing Fee Waiver Request {YEA}

FILE ONE ORIGINAL (Two if you want a filed stamped copy returned to you.)FILING FEE: N/A Member of a Limited Liability Company - Form to accompany the Articles of Organization of LLC (Form LLD-1). Incorporator of Corporation - Form to accompany the Articles of Incorporation (Form CD-1 or Form CD-1NP).Capacity of person named above (Check One below): Age: Print Name: Yes, I would like to take advantage of the Young Entrepreneurs Act and have the initial Secretary of State filing fee waived.Young Entrepreneurs Act: House Bill 2897, effective July 1, 2016 (West Virginia Code 24759-1-2c ), was passed and provides that any incorporator of an incorporation, member of a limited liability company, or partner of a partnership who is a West Virginia resident and is under 30 years of age to have their initial filing fee waived by the Office of Secretary of State, if formed July 1, 2016 or thereafter. To take advantage of the fee waiver please check the box below and enter your name and age. You must provide proof of age and West Virginia residency, a driver's license or equivalent state or federal identification. You must attach this WAIVER REQUEST form to one of the appropriate Secretary of State business registration applications listed below: Partner of a Partnership Name of Business*:*Name of the business or organization being registered as listed in the Articles of Incorporation or Articles of Organization. Articles of Incorporation (Form CD-1 ) Articles of Incorporation with Non-Profit IRS Attachment (Form CD-1NP ) Articles of Organization (Form LLD-1 )By checking the box below you verify all the following are true and correct: State Issued Driver's License Birth Certificate State Issued ID Federal Issued ID WV utility bills (not more than 60 days old; cannot be termination notice, cannot be two bills issued by same company) WV Voter's Registration card Tax records with a WV street address (not more than 18 months old) WV mortgage documents, WV homeowner insurance documents for a WV residence, or proof of WV home ownership WV W-2 form (not more than 18 months old) Valid WV vehicle registration card Residential rental or lease agreement Date: Signature: Phone:1. I am under 30 (18 to 29) years of age as of today's date. (Proof of age must be attached see list of accepted forms of proof below).2. I am a current West Virginia resident. (Proof of WV residency must be attached see list of accepted forms of proof below):YOUNG ENTREPRENEURS ACT FILING FEE WAIVER REQUESTForm YEA Rev. 7/2018West Virginia Secretary of State Business & Licensing Division Tel: (304)558-8000 Fax: (304)558-8381 Website: www.wvsos.gov American LegalNet, Inc. www.FormsWorkFlow.com