Fill and Sign the Nebraska Domestic 497317968 Form

CERTIFICATE OF ORGANIZATION NEBRASKA LIMITED LIABILITY COMPANY Formed on or after Jan. 1, 2011 - per Nebraska Revised Statutes 21-117 1. The name of the Limited Liability Company is as follows: ______________________________________________________________________ (The name of a limited liability company must contain the words limited liability company or limited company or the abbreviation L.L.C., LLC, L.C., or LC. Limited may be abbreviated as Ltd., and company may be abbreviated as Co.) 2a. The street and mailing addresses of the initial designated office: Street Addr: ____________________________________________________________ Mailing Ad: ____________________________________________________________ 2b. The name, and street and mailing addresses and post office box number, if any, of the initial agent for service of process of the company: Name: _________________________________________________________________ Street Address: __________________________________________________________ Mailing Address (if different): ______________________________________________ PO Box (if different): _____________________________________________________ 3. Is the limited liability company organized to render a professional service? Yes[ ] No[ ] If Yes is indicated, identify the professional service: _____________________________ (If a professional service is to be rendered, a current Certificate of Registration must be delivered to the Secretary of State concurrently with this Certificate of Organization, per NRS 21-185 et. seq.) Signature of Organizer: ________________________________ Date: ___________________ Type Name: