West Virginia Application for Certificate of Authority of Limited Liability Company

WEST VIRGINIA APPLICATION FOR CERTIFICATE OF AUTHORITY OF LIMITED LIABILITY COMPANY

FILE ONE ORIGINAL (Two if you want a filed stamped copy returned to you.)

FILING FEE: $150 *Fee Waived for Veteran-owned organization Control #

*** The undersigned, having authority to transact business on behalf of a foreign (out-of-state) registered entity, agrees to ***
comply with the requirements of West Virginia Code §31B-10-1002 to apply for Certificate of Authority.

1. The name of the limited liability company as registered in its home state is:

and the State or Country of organization is:

CHECK HERE to indicate you have obtained and submitted with this application a CERTIFICATE OF EXISTENCE (GOOD STANDING), dated during the current tax year, from your home state of original formation as required to process your application.

2. The business name to be used in West Virginia will be:

Home State name as listed in Section 1. above, if available in West Virginia

DBA Name

(If name is not available, check DBA Name box below and follow special instructions in Section 2. attached.)

3. The company will be a:

Regular LLC

Professional LLC* for the profession of:

Series LLC

Professional business organizations: CHECK BOX indicating you have attached the state licensing board Verification of Eligibility (Form VOE).

4. The address of the principal office of the company will be:

Located in the County of (required):

Street:

City: State: Zip Code:

The mailing address of the above location, if different, will be:

Street:

City: State: Zip Code:

5. The address of the initial designated (physical) office of the company in West Virginia, if any, will be:

Located in the County of:

Street:

City: State: Zip Code:

6. Agent of Process:

Name:

Street:

City: State: Zip Code:

The mailing address of the above location, if different, will be:

Street:

City: State: Zip Code:

7. E-mail address where business correspondence may be received:

8. Website address of the business, if any (ex: yourdomainname.com):

9. Do you own or operate more than one business in West Virginia?

Yes If "Yes"... a. How many businesses? b. Located in how many West Virginia counties? No Decline to answer

10. The company will be - CHECK ONE (required):

an AT-WILL company, conducting business for an indefinite period.

a TERM company, conducting business for the term of years.

11. The company will be - CHECK ONE (required):

MEMBER-MANAGED

MANAGER-MANAGED

List the name(s) and address(es) of the MEMBER(S) [if member-managed] or the MANAGER(S) [if manager-managed] of the company (required):

Use additional pages if necessary.

12. All or specified members of a limited liability company are liable in their capacity as members for all or specified debts, obligations or liabilities of the company (required):

No - All debts, obligations and liabilities are those of the company.

Yes - Those persons who are liable in their capacity as members for all debts, obligations or liability of the company have consented in writing to the adoption of the provision or to be bound by the provision.

13. a. The purpose(s) for which this limited liability company is formed is as follows:

b. Will the above purpose include any business activity conducted as a consumer litigation financier pursuant to WV Code §46A-6N?

Yes

No

14. Is the business a Scrap Metal Dealer?

Yes

No

15. Other provisions which may be set forth in the operating agreement or matters not inconsistent with law:

16. The number of pages attached and included in these Articles is:

17. The requested effective date is:

the date and time of filing in the Secretary of State's Office.

the following date and time

18. Is the organization a "veteran-owned" organization?

Yes (If "Yes," attach Form DD214)

No

CHECK BOX indicating you have attached Veteran Affairs Form DD214

19. Contact and Signature Information

FILING THE ARTICLES - ONE ORIGINAL REQUIRED - AND PAYING THE FEE

Registration fee - $150

* Veteran-owned entity registration FEE WAIVED - $0

Registration fee* $15 per certified copy: +

Total fee: =

Customer Order Request

Order Processing Requested:

Standard Processing

24-HOUR Expedite

2-HOUR Expedite

1-HOUR Expedite

Name of Entity:

Return filing to (Return Address):

Contact Name: Phone:

Return Delivery Options:

Email to:

Fax to:

Hold for Pick Up

Mail to Return Address above

Other (explain below):

FedEx: Acct # UPS: Acct #

Order Description (include items being ordered and fee breakdown):

Total Amount:

Payment Method:

Cash

Check/Money Order

Credit Card

Pre-paid Acct #:

e-Payment Authorization

Service Type:

Fax E-mail Mail

Card Type:

Visa Mastercard Discover American Express

Credit Card Number:

V Code*

Credit Card Expiration Date: Month Year

Amount to Charge Card: USD $

Order Information (required)

Entity Name:

Card Holder Information:

Name as it appears on the account

Billing Address

City State Zip Code

Telephone Ext.

Payment Information Storage Authorization (optional)

I authorize the Secretary of State to store this payment information for future payment transactions processed by Secretary of State:

Payment Authorization (required)

I authorize the Secretary of State to bill an amount not to exceed the following to be charged to the above listed account(s):

Not to Exceed Amount: USD $