Ca Llc 12R Form – Fill Out and Use This PDF

The CA LLC-12R form, officially known as the Statement of Information, is a crucial document for all California and registered foreign limited liability companies. It must be filed with the California Secretary of State within 90 days of the company's registration and then every two years during a specific six-month period based on the original registration date. Filing this form is essential not only for compliance but also for ensuring the company's information is up-to-date on the public record. To complete this process effortlessly, click the button below.

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Ca Llc 12R Form PDF Details

In the landscape of California's business requirements, the Statement of Information (Form LLC-12) emerges as a vital document for both domestic and foreign limited liability companies operating within the state. Adherence to its submission guidelines is not just about compliance but is a reflection of a business’s credibility and legal standing. Filed with the California Secretary of State, this form must be submitted within 90 days of an LLC's registration and then biennially within a designated 6-month window relative to the original registration date. This process is streamlined through online submission options, offering efficiency and accessibility to businesses striving to maintain their operational integrity. The form serves multiple functions, including updating the state on crucial aspects of an LLC such as management structure, agent for service of process, and principal business activity, among other details. Failure to file or late submissions are not without consequence, with penalties imposed to ensure compliance. Additionally, for LLCs faced with suspension or forfeiture of status, the form becomes part of the pathway to reinstatement, emphasizing its role not just as a procedural requirement but as a tool for sustaining business operation within legal bounds. The multitude of components encompassed in the LLC-12 form highlights its importance in the broader context of business administration and regulatory adherence in California.

Question	Answer
Form Name	Ca Llc 12R Form
Form Length	8 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	2 min
Other names	california llc limited, how to form llc 12, form llc 12, california information ca

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Instructions for Completing the

Statement of Information (Form LLC-12)

Every California and registered foreign limited liability company must file a Statement of Information with the California Secretary of State, within 90 days of registering with the California Secretary of State, and every two years thereafter during a specific 6-month filing period based on the original registration date, as described in the chart below.

All Statements of Information for limited liability companies can be filed online at bizfile.sos.ca.gov.

Status of LLC: In order to file Form LLC-12, the status of the LLC must be active or suspended/forfeited on the records of the California Secretary of State. The status of the LLC can be checked online on the Secretary of State’s Business Search at BusinessSearch.sos.ca.gov. See the FTB Suspension/Forfeiture section below for information about resolving an FTB suspended/forfeited status.

Fees: See chart below. Checks should be made payable to the Secretary of State.

Copies: To obtain a copy or certified copy of this filed Statement of Information, include payment for copy fees and certification fees at the time this Statement of Information is submitted. Copy fees are $1.00 for the first page and $.50 for each attachment page. For certified copies, there is an additional $5.00 certification fee, per document. If you would like a free filed copy of your Statement of Information, go to BusinessSearch.sos.ca.gov.

Processing Dates: For current processing dates, go to www.sos.ca.gov/business/be/processing-dates.

Type of		Description	Online/Form	Fee
Filing		Description	Online/Form	Fee
Filing
Initial Filing		The initial filing is due 90 days from	File online at bizfile.sos.ca.gov.	$20.00
		the entity’s registration date.	(Form LLC-12)

Required	• The periodic filing is due every two		File online at bizfile.sos.ca.gov.	$20.00
Periodic		years based on the entity’s	(Form LLC-12, if changes have
Filing		registration date.	been made)
		• If the registration occurred in an	Or
		even-numbered year, the periodic	(Form LLC-12NC, if no changes
		filing is due every even year.	(Form LLC-12NC, if no changes
		filing is due every even year.	since the last complete Statement
		• If the registration occurred in an	since the last complete Statement
		• If the registration occurred in an	of Information)
		odd-numbered year, the periodic	of Information)
		odd-numbered year, the periodic
		filing is due every odd year.
		• The filing period includes the
		registration month and the
		immediately preceding five (5)
		months.
No Fee	A Statement of Information is		File online at bizfile.sos.ca.gov.	No Fee
Statement	submitted after the initial or required		(Form LLC-12)
	filing requirements have been met to
		update information including changes
		to the agent for service of process.

LLC-12 (REV 11/2021)	2021 California Secretary of State
	bizfile.sos.ca.gov

		Statutory Required 6 Month Filing Window for Limited Liability Companies

		Month of Formation,		Statement of Information
		Registration or Conversion		Applicable Filing Period
			First Day of		Through Last Day
		January		August	January
		February	September		February
		March		October	March
		April		November	April
		May		December	May
		June		January	June
		July		February	July
		August		March	August
		September		April	September
		October		May	October
		November		June	November
		December		July	December
If you are not completing this form online, type or print legibly in black or blue ink. Complete the
Statement of Information (Form LLC-12) as follows:

Item	Instruction			Tips
1.	Enter the name of the limited liability			• To ensure you have the exact name of the LLC, refer
	company exactly as it appears on file			to your registration document filed with the California
	with the California Secretary of State,			Secretary of State and any name change
	including the entity ending			amendments.
	(ex: “Jones & Company, LLC” or “Smith			• Some foreign LLCs may have registered in California
	Construction, a Limited Liability			using an alternate name. If your LLC is a registered
	Company”).			foreign LLC using an alternate name in California,
				you must enter the complete alternate name.

2.	Enter the 12-digit Entity Number issued			• The 12-digit Entity (File) Number is provided by the
	to the LLC by the California Secretary			Secretary of State above the file stamp at the top of
	of State at the time of registration.			the LLC’s registration document filed with the
				California Secretary of State or if filed electronically,
				in the top section, below the Entity Name.
				• Secretary of State Records can be accessed online
				through our Business Search at
				BusinessSearch.sos.ca.gov. While searching the
				Business Search, be sure to identify your LLC
				correctly including the jurisdiction that matches your
				LLC.

3.	If formed outside of California, enter			• The jurisdiction must match the Secretary of State’s
	the state, foreign country or other place			records.
	where the LLC is organized.			• Secretary of State Records can be accessed online
				• Secretary of State Records can be accessed online
				through our Business Search at
				BusinessSearch.sos.ca.gov. While searching the
				Business Search, be sure to identify your LLC
				correctly including the jurisdiction that matches your
				registered foreign LLC.

LLC-12 (REV 11/2021)	2021 California Secretary of State
	bizfile.sos.ca.gov

Item		Instruction		Tips
			• If the LLC is formed in California, leave Item 3 blank.

4a.		Enter the complete street address, city,	• The complete street address is required, including
		state and zip code of the LLC’s		the street name and number, city, state and zip code.
		principal office.	• Address must be a physical address.
			• Address must be a physical address.
			• Do not enter a P.O. Box address, an “in care of”
				address, or abbreviate the name of the city.

4b.		If different from the address in Item 4a,	• This address will be used for mailing purposes and
		enter the complete mailing address,		may be a P.O. Box address or “in care of” an
		city, state and zip code of the LLC.		individual or entity.
			• Do not abbreviate the name of the city.

4c.		• If the LLC is formed in California,	• The complete street address is required, including
		enter the complete street address,		the street name and number, city and zip code.
		city and zip code of the office in	• Address must be a physical address in California.
		California, if different from Item 4a.	• Address must be a physical address in California.
		California, if different from Item 4a.	• Do not enter a P.O. Box address, an “in care of”
		• If the LLC is formed outside of	• Do not enter a P.O. Box address, an “in care of”
		• If the LLC is formed outside of		address, or abbreviate the name of the city.
		California, enter the complete street		address, or abbreviate the name of the city.
		California, enter the complete street	• If Item 4a is an address in California leave Item 4c
		address, city and zip code of the	• If Item 4a is an address in California leave Item 4c
		principle business office in California,		blank and proceed to Item 5.
		if any.

5.	Enter the name and complete business		• If the LLC has more than one manager or member,
	or residential address of any			enter the name(s) and address(es) of the additional
	manager(s), appointed or elected in			mangers or members on Form LLC-12A.
	accordance with the Articles of			• Please do not abbreviate the name of the city.
	Organization or Operating Agreement,			• Please do not abbreviate the name of the city.
	Organization or Operating Agreement,			• Review your Articles of Organization or any
	or if no manager(s) has been so			• Review your Articles of Organization or any
	elected or appointed, the name and			amendments thereto, to determine if the LLC is run
	business or residential address of each			by a single manager, more than one manager or by
	member.			its member(s).
				• Every LLC is required to have at least one
				manager/member.
				• A member(s) is the owner of the LLC similar to a
				shareholder(s) in a corporation.

6.		The LLC must have an Agent for		• An Agent for Service of Process is responsible for
		Service of Process.		accepting legal documents (e.g. service of process,
		There are two types of Agents that can		lawsuits, subpoenas, other types of legal notices,
		be named:		etc.) on behalf of the LLC.
		• an individual (e.g., member, manager,		• You must provide information for either an individual
		or any other individual) who resides in		OR a registered corporate agent, not both.
		California with a physical California		• If using a registered corporate agent, the corporation
		street address; OR		must have a current agent registration certificate on
		• a registered corporate agent qualified		file with the California Secretary of State as required
		with the California Secretary of State.		by Section 1505.

6a & b.	If Individual Agent:			• The complete street address is required, including
		• Enter the name of the agent for		the street name and number, city and zip code.
		service of process and the agent’s		• Do not enter a P.O. Box address, an “in care of”
		complete California street address,		address, or abbreviate the name of the city.
		city and zip code.		• Many times, a small LLC will designate a member or
				• Many times, a small LLC will designate a member or

LLC-12 (REV 11/2021)	2021 California Secretary of State
	bizfile.sos.ca.gov

Item		Instruction		Tips
		• If an individual is designated as the		manager as the agent for service of process.
		• If an individual is designated as the
		agent, complete Items 6a and 6b		• The individual agent should be aware that the name
		ONLY. Do not complete Item 6c.		and the physical street address of the agent for
				service of process is a public record, open to all (as
				are all the addresses of the LLC provided in filings).

6c.		If Registered Corporate Agent:	• Before a corporation is designated as agent for the
	• Enter the name of the registered			LLC, that corporation must have a current agent
	• Enter the name of the registered			registration certificate on file with the California
		corporate agent exactly as registered		registration certificate on file with the California
		corporate agent exactly as registered		Secretary of State as required by Section 1505 stating
		in California.		Secretary of State as required by Section 1505 stating
		in California.		the address(es) of the registered corporate agent and
	• If a registered corporate agent is			the address(es) of the registered corporate agent and
	• If a registered corporate agent is			the authorized employees that will accept service of
		designated as the agent, complete		the authorized employees that will accept service of
		designated as the agent, complete		process of legal documents and notices on behalf of
		Item 6c ONLY. Do not complete		process of legal documents and notices on behalf of
		Item 6c ONLY. Do not complete		the LLC.
		Items 6a and 6b.	• Advanced approval must be obtained from a
			• Advanced approval must be obtained from a
				registered corporate agent prior to designating that
				corporation as your agent for service of process.
			• No California or foreign corporation may register as
				California corporate agent unless the corporation
				currently is authorized to engage in business in
				California and is in good standing on the records of
				the California Secretary of State.
			• Provide your Registered Corporate Agent’s exact
				name as registered with the California Secretary of
				State. To confirm that you are providing the exact
				name of the Registered Corporate Agent, go to https://
				businesssearch.sos.ca.gov/cbs/List1505Agents.
7.		Briefly describe the general type of
		business that is the principal business
		activity of the LLC.

8.		Enter the name and complete business	• A chief executive officer may be in addition to
		or residential address of the chief		members and managers but generally is the person
		executive officer, if any.		that occupies the highest level position in the LLC’s
				organization hierarchy in charge of managing the
				LLC.

9.		Check either YES or NO to disclose if	• Check YES if any Manager or any Member of this
		any Manager or any Member have an		Limited Liability Company have an outstanding final
		outstanding final judgment issued by		judgment issued by the Division of Labor Standards
		the Division of Labor Standards		Enforcement or a court of law, for which no appeal
		Enforcement or a court of law, for		therefrom is pending, for the violation of any wage
		which no appeal is pending, for the		order or provision of the Labor Code.
		violation of any wage order or provision	• Check NO if no Manager or Member of this Limited
		of the Labor Code.	• Check NO if no Manager or Member of this Limited
		of the Labor Code.		Liability Company has an outstanding final judgment
				Liability Company has an outstanding final judgment
				issued by the Division of Labor Standards
				Enforcement or a court of law, for which no appeal
				therefrom is pending, for the violation of any wage
				order or provision of the Labor Code.

10.		Type or print the date, the name and
		title of the person completing this form
		and sign where indicated.

LLC-12 (REV 11/2021)	2021 California Secretary of State
	bizfile.sos.ca.gov

Submission Cover Sheet (Optional): To make it easier to receive communication related to this document, including the copy of the filed document, complete the Submission Cover Sheet. For the Return Address: enter the name of a designated person and/or company and the corresponding mailing address. Please note: the Submission Cover Sheet will be treated as correspondence and will not be made part of the filed document.

Where to File: For faster service, this form can be filed online at bizfile.sos.ca.gov. The completed form along with the applicable fees can be mailed to Secretary of State, Statement of Information Unit, P.O. Box 944230, Sacramento, CA 94244-2300 or delivered in person (drop off) to the Sacramento office, 1500 11th Street, Sacramento, CA 95814.

Legal Authority: General statutory filing provisions are found in Section 17702.09 unless otherwise indicated. All 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.)

FTB Suspension/Forfeiture: If the LLC’s status is FTB suspended/forfeited, the status must be resolved with the California Franchise Tax Board (FTB) for the LLC to be returned to active status. For revivor requirements, go to the FTB’s website at https://www.ftb.ca.gov or contact the FTB at (800) 852-5711 (from within the U.S.) or (916) 845-6500 (from outside the U.S.).

LLC-12 (REV 11/2021)	2021 California Secretary of State
	bizfile.sos.ca.gov

Secretary of State

Business Programs Division

Statement of Information

1500 11th Street, Sacramento, CA 95814

P.O. Box 944230, Sacramento, CA 94244-2300

Submission Cover Sheet

Instructions:

•Complete and include this form with your submission. This information only will be used to communicate with you in writing about the submission. This form will be treated as correspondence and will not be made part of the filed document.

•Make all checks or money orders payable to the Secretary of State.

•Standard processing time for submissions to this office is approximately 5 business days from receipt. All submissions are reviewed in the date order of receipt. For updated processing time information, go to www.sos.ca.gov/business/be/processing-dates.

Optional Copy and Certification Fees:

•If applicable, include optional copy and certification fees with your submission.

•For applicable copy and certification fee information, refer to the instructions of the specific form you are submitting.

Entity Information: (Please type or print legibly)

Name: __________________________________________________________________________________________________________________

Entity Number (if applicable):_____________________________________

Comments: _____________________________________________________________________________________________________________

_____________________________________________________________________________________________________________

Return Address: For written communication from the Secretary of State related to this document, or if purchasing a copy of the filed document enter the name of a person or company and the mailing address.

Name:		
Company:
Address:
City/State/Zip:		

Doc Submission Cover - SI (Rev. 11/2020)

Secretary of State Use Only

T/TR:

AMT REC’D: $

Clear Form Print Form

Secretary of State	LLC-12
Statement of Information
Statement of Information
(Limited Liability Company)

IMPORTANT — This form can be filed online at
bizfile.sos.ca.gov.
Read instructions before completing this form.
Filing Fee - $20.00
Copy Fees - First page $1.00; each attachment page $0.50;
Certification Fee - $5.00 plus copy fees		This Space For Office Use Only
		This Space For Office Use Only

1.Limited Liability Company Name (Enter the exact name of the LLC. If you registered in California using an alternate name, see instructions.)

2. 12-Digit Secretary of State Entity Number

3.State, Foreign Country or Place of Organization

(only if formed outside of California)

4. Business Addresses

a. Street Address of Principal Office - Do not list a P.O. Box		City (no abbreviations)	State	Zip Code

b. Mailing Address of LLC, if different than item 4a		City (no abbreviations)	State	Zip Code

c. Street Address of California Office, if Item 4a is not in California		City (no abbreviations)	State	Zip Code
Do not list a P.O. Box
			CA

5. Manager(s) or Member(s)	If no managers have been appointed or elected, provide the name and address of
	each member. At least one name and address must be listed. If the

manager/member is an individual, complete Items 5a and 5c (leave Item 5b blank). If the manager/member is an additional managers/members, enter the names(s) and address(es) on Form LLC-12A.

a. First Name, if an individual - Do not complete Item 5b

Middle Name

Last Name

Suffix

b. Entity Name - Do not complete Item 5a

c. Address

City (no abbreviations)

State

Zip Code

LLC-12 (REV 11/2021)	2021 California Secretary of State
	bizfile.sos.ca.gov

6.Service of Process (Must provide either Individual OR Corporation.)

INDIVIDUAL – Complete Items 6a and 6b only. Must include agent’s full name and California street address.

a. California Agent's First Name (if agent is not a corporation)	Middle Name		Last Name			Suffix

b. Street Address (if agent is not a corporation) - Do not enter a		City (no abbreviations)		State	Zip Code
P.O. Box				CA
				CA

CORPORATION – Complete Item 6c only. Only include the name of the registered agent Corporation.

c. California Registered Corporate Agent’s Name (if agent is a corporation) – Do not complete Item 6a or 6b

7. Type of Business

Describe the type of business or services of the Limited Liability Company

8. Chief Executive Officer, if elected or appointed

a. First Name	Middle Name		Last Name			Suffix

b. Address		City (no abbreviations)		State	Zip Code

9. Labor Judgment

Does any Manager or Member have an outstanding final judgment issued by the
Division of Labor Standards Enforcement or a court of law, for which no appeal				Yes		No
therefrom is pending, for the violation of any wage order or provision of the Labor Code?

10.By signing, I affirm under penalty of perjury that the information herein is true and correct and that I am authorized by California law to sign.

_____________________	____________________________________________________________	________________________	__________________________________
Date	Type or Print Name	Title	Signature

LLC-12 (REV 11/2021)

Print Form

Clear Form

2021 California Secretary of State

bizfile.sos.ca.gov

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