Select Your Corporation Type*

Name*

First Last

Phone*

Fax

Firm/Company*

Shipping Address*

Street Address Address Line 2 City State ZIP Code

Name of the Limited Liability Company*

Secretary of State File Number*

State of Organization*

Name of Corportation*

Corporate Number*

Street address of Principal Executive Office*

Street Address Address Line 2 City State ZIP Code

Street address of Principal Business Office in California (if any)

Street Address Address Line 2 City State ZIP Code

Is the mailing address of corporation different than street address?*

Yes

No

Is the mailing address of the LLC different than street address?*

Yes

No

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Officers

THE NAMES AND ADDRESSES OF ALL THREE OFFICERS MUST BE COMPLETED. THE SECRETARY OF STATE REQUIRES THREE OFFICERS.

Name of CEO*

First Last

Address of CEO*

Street Address Address Line 2 City State ZIP Code

Name of Secretary*

First Last

Address of Secretary*

Street Address Address Line 2 City State ZIP Code

Name of Chief Financial Officer*

First Last

Address of Chief Financial Officer*

Street Address Address Line 2 City State ZIP Code

Have any Managers been named?*

Name and Address of ALL Managers Named*

Please include the names and addresses of ALL Managers named in the LLC.

Ex:
John Doe
1234 Fake St.
Anywhere, CA 98505

Have any Members been named?*

Name and Address of ALL Members Named*

Please include the names and addresses of ALL Members named in the LLC.

Ex:
John Doe
1234 Fake St.
Anywhere, CA 98505

Directors

Please list one Director below

Name of Director*

First Last

Address of Director*

Street Address Address Line 2 City State ZIP Code

Number of vacancies of the Board (if any)

Name of Agent for service of process*

First Last

Address of Agent*

Street Address Address Line 2 City State ZIP Code

Must be address in California

Describe the type of business of the corporation (be specific)*

Indicate the type of business in which the LLC engages*

Is the corporation an association formed to manage a common interest development under the Davis-Stirling Common Interest Development Act?*

Person signing on behalf of corporation*

First Last

Person signing on behalf of LLC*

First Last

Statement of Information – California

Officers

Directors

For-Profit Corporation Entity Formation with SpaceSaver Kit

Gold E-Kit

For-Profit Corporation Entity Formation with Attorney’s Special Kit

Limited Liability Corporation Entity Formation with Gold E-Kit

Services

Products

Statement of Information – California

Officers

Directors

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For-Profit Corporation Entity Formation with SpaceSaver Kit

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