Ca Llc 12R Form PDF Details

Establishing a Nevada LLC is an essential first step for any company that plans on conducting business in the state of Nevada. The Ca llc 12R Form is the only form required to register or renew your LLC with the Secretary of State. This blog post will guide you through each section of this form and provide helpful tips along the way. There are many reasons why you might establish an LLC, but most people do so to protect their personal assets from liabilities associated with running a company (i.e., debts, lawsuits). You can also use an LLC as an estate planning tool if one member wants to leave his/her share of ownership within the company without having it go into probate court proceedings upon death.

In the table, there is some good information regarding the ca llc 12r form. Before you complete the form, it's definitely worth examining more about it.

QuestionAnswer
Form NameCa Llc 12R Form
Form Length8 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min
Other namescalifornia llc limited, how to form llc 12, form llc 12, california information ca

Form Preview Example

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

 

 

 

 

 

 

 

 

 

 

 

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.

 

 

 

 

 

since the last complete Statement

 

 

 

 

 

• If the registration occurred in an

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

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.

 

 

 

 

 

 

• 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.

 

 

• 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

 

 

 

• If Item 4a is an address in California leave Item 4c

 

 

address, city and zip code of the

 

 

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,

 

 

 

• Review your Articles of Organization or any

 

or if no manager(s) has been so

 

 

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

 

 

 

 

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.

 

 

 

 

 

 

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

 

 

registration certificate on file with the California

 

 

corporate agent exactly as registered

 

 

 

 

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 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

 

 

 

 

the LLC.

 

 

Items 6a and 6b.

• 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.

 

 

 

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

 

 

 

 

(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

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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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