Fill and Sign the Capital Call Form

Notice of Capital Call Request to Member, Unpaid Contribution of Member, and Possibility of Dilution of Membership Interest for Failure to Make such Contribution To: __________________________ (Name of Member)_________________________________________ _________________________________________ (Address of Member)You are reminded that by the following Resolutions were adopted by the Members on ____________________ (date):1.That the Managing Member of the LLC be, and he is now empowered and directed to purchase from _______________________ (name of member) on behalf of the LLC, all of said Member’s Interest in the LLC pursuant to Article ______ of the Operating Agreement of the LLC, and that payment for the Interest so purchased be made in cash.2. That the Managing Member be, and he now is, authorized to take all steps required by law and said Operating Agreement to purchase said Interest as aforesaid and to issue a Notice of Intention regarding the purchase of said Interest and, if necessary, issue a Capital Call Request pursuant to Article ______ of said Operating Agreement to raise the necessary funds to make said purchase.A Capital Call Request was made pursuant to Article _____ of the Operating Agreement and is confirmed by this Notice. Our records indicate that the amount unpaid by you in response to said Call is $____________.Demand is now made that you pay your unpaid portion of the Capital Call Request on or before __________________ (date). Failure to do so will result in a dilution of your Interest in the LLC as set forth in Article ______ of the Operating Agreement which provides in part as follows:In the event a Member fails to contribute such Member's proportionate share of the Capital Call Amount by the Capital Call Date, such Member's Percentage Interest shall be diluted in proportion to such Capital Call amount and the Percentage Interest set forth on Schedule I shall be adjusted accordingly.Please make said payment to the undersigned at ______________________________ ______________________________________ (street address, city, state, zip code).Witness my signature this the _____ day of _______________, 20_____. ______________________________(Printed Name of Managing Member)______________________________ (Signature of Managing Member)