Form Llc 12 PDF Details

Form LLC 12 is a necessary step in setting up your business. It provides you with the limited liability company structure that offers personal asset protection from business debts and lawsuits. When filing Form LLC 12, be sure to complete all required fields so that your application can be processed without delay. For more information on how to form an LLC in Pennsylvania, visit our website today.

Listed below are some information about form llc 12. Before you fill out the form, it is worth studying more details on it.

QuestionAnswer
Form NameForm Llc 12
Form Length3 pages
Fillable?Yes
Fillable fields51
Avg. time to fill out11 min 1 sec
Other namesform llc 12 online, secretary of state form llc 12, ca form llc 12, llc 12 online

Form Preview Example

Secretary of State

Business Programs Division

Business Entities

1500 11th Street, Sacramento, CA 95814

P.O. Box 944260, Sacramento, CA 94244-2600

Submission Cover Sheet

For faster service, file online at bizfileOnline@sos.ca.gov.

Instructions:

Complete and include this form with your paper submission. This information only will be used to communicate with you about the submission, if needed. 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.

In person submissions (excluding Statements of Information): $15 handling fee; do not include a $15 handling fee when submitting documents by mail.

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 with online submissions given priority. For updated processing time information, visit 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.

Contact Person: (Please type or print legibly)

First Name:

 

Last Name:

Phone (optional):

Entity Information: (Please type or print legibly)

Name:

Entity Number (if applicable):

Comments:

Submission Cover Sheet (REV 03/2022)

Clear Form

Print Form

Secretary of State

LLC-12

Statement of Information

 

 

(Limited Liability Company)

 

This form is due within 90 days of initial registration and every two years thereafter.

Filing Fee - $20.00

Certification Fee (Optional) - $5.00

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.)

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 03/2022)

2022 California Secretary of State

bizfileOnline.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 03/2022)

Print Form

Clear Form

2022 California Secretary of State

bizfileOnline.sos.ca.gov

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