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Professional Limited Liability Company Formation Questionnaire

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PLLC – Formation Questionnaire

Primary Contact Name: Address:

Telephone: Mobile: E-mail: Fax:

The name of the Professional Limited Liability Company is:

Type of business:

The address of the Professional Limited Liability Company is:

The registered agent of the Professional Limited Liability Company is:

whose address is

Name of Tax Matters Member (if any): whose address is

The purpose of this Professional Limited Liability Company is:

Do the business organizers intend the business to survive their departure? Yes No

What are the activities of the Professional Limited Liability Company?

Is professional licensing required for Members? Yes No If yes, list Member name and license required:

Please list any other professional or federal, state, and/or local governmental licensing requirements for the Professional Limited Liability Company:

Do purposes include management of real estate? Yes No

If yes: Identify Real Estate: Address: Common name: Type/use:

Real Estate is:

owned by General/Managing Members and to be contributed as a capital contribution - value: $

to be acquired under existing contract

Date of contract: Seller: Purchaser:

to be acquired, but no contract has been executed

other:

PLLC is to:

merely operate existing structures

construct low income housing

rehabilitate (under Tax Reform Act of 1986)

construct other type of building

if cost of acquiring Real Estate or constructing improvements exceeds $ Limited Members are to contribute % of excess, up to $

mortgages, etc. must be non-recourse

Will the business operate mainly locally, nationally, or internationally?

If nationally or internationally, describe:

How many employees will the business have?

What is the expected yearly revenue or loss for the business?

For the first two years?

For two to ten years from now?

For ten to twenty years from now?

What are the greatest risks associated with the business?

Will principals contribute their own assets to the business? Yes No

If yes, describe:

Do you expect to initially generate capital from investment or from sales?

How much of the business's debts will principals have to personally guarantee?

How long will it likely be before the business becomes profitable?

Will each principal be due an equal share of profits? Yes No

How will the amount of income or salary due each principal be determined?

Will earnings be distributed to owners immediately, or will they be accumulated by the business for future investment?

Is Agreement to be a short form, rather than a long form? Yes No

Is Agreement to be strongly protective of rights of Limited Members, rather than in favor of General/Managing Members? Yes No

THE PARTIES

Enter the following information about persons entering into the Operating Agreement.

Name Address Phone Number Dollar Amount of Capital Contribution Percentage of Membership Interest Type of Member (General, Managing, Limited)

OPERATIONS/CAPITALIZATION/AUTHORIZATIONS

What date will the operating agreement be signed?

When will the PLLC end or be expected to end?

When the Members decide to terminate the PLLC affairs.

When the PLLC assets have been sold or otherwise disposed of.

Other

The total capital contribution from all Members to the PLLC is

In the event the PLLC requires a later infusion of money to run the business, are the Members required to contribute additional capital?

Yes, the Members are required to contribute additional capital, in same ratio as their percentage of profits, but in no event an amount exceeding percent of their original capital contribution. No

Will the General Member(s) be entitled to compensation for their work on behalf of the PLLC? Yes No

If yes, how much per month will the General Member be entitled to collect?

Will the General Members be required to devote their full time, effort and attention to the PLLC? Yes No

Are Managing Members to be elected? Yes No If yes, Managing Members are to be elected by what vote:

May a new Member be admitted to the PLLC with less than the unanimous consent of the other Members? Yes No If yes, what vote required?:

What consent is to be required to continue the business of the PLLC?

If a Member desires to voluntarily withdraw, must the Member first get the consent of some or all of the other Members? Yes No If yes, what vote required?

In general, decisions reserved to the Members are to be made by what vote?

What requirements do you want to impose regarding signing checks, notes, deeds, contracts, etc. on behalf of the PLLC?

Do you wish to allow execution of said documents up to a certain value without consent of others during a limited time period? Yes No If yes, please indicate the amount: $ and the duration:

Who shall have authorization?

Member authorized to sign with the unanimous consent of all Members (limited and general)

Member authorized to sign with a majority consent of the Members (limited and general)

General Member only authorized to sign

Managing Member only authorized to sign

Other. Please specify:

If authority delegated to a managing Member, please state the managing Member's name:

Is the Agreement to provide for annual meetings of the Members? Yes No

Is the Agreement to provide for assignment of allocations and distributions to any of the following?:

relatives of a Member without consent;

another Member without consent;

to any person with the following consent:

no consent required

unanimous (all Members) majority other:

Other than amendments of the Operating Agreement which directly change the financial share of each Member will require unanimous consent, do you wish to provide for other types of amendments with less than unanimous consent? Yes No If yes, what consent?

A decision to dissolve the PLLC is to be made the following vote:

Competing business activities:

Member may engage in competing business activities

The Agreement is to be silent on the subject

Members are expressly to have the right to engage in competing businesses

Each Member is to covenant not to compete while a Member and for period after membership in the PLLC ceases for a period of within the area of

Are Limited Members’ interests to be syndicated? Yes No

Will you coordinate Offering Memorandum with separate securities counsel? Yes No

Total amount of Interests to be syndicated: $

Total percentage Interests (other than initial Limited Members) to be syndicated: %

Total number of "units":

Percentage Interest of one "unit": %

Price for one "unit": $

Price of smallest PORTION of a "unit" which may be purchased: $

Minimum amount of Interests that must be sold if offering is to be effective: $

Date by which minimum must be sold:

General Members may extend date - how many months?

Approx. net worth of General Members: $ as of

Minimum net worth of an investor: $

May Limited Members pay portion of capital contribution on future dates? Yes No

pursuant to note

down payment: $

schedule of payments:

obligation to be secured by:

the Interests

letters of credit - bank:

(if not a syndication) May General/Managing Members admit additional Limited Members? Yes No If yes, for capital contribution of $ for each percentage Interest (max: %)

May General Members "convert" up to 95% of General/Managing Members Interests into Limited Members Interests for future sale?

If PLLC requires additional funds:

General/Managing Members may advance funds

as an interest bearing loan rate: % per annum

no interest may be charged

Limited Members may advance funds (if General Members fail to do so) as an interest bearing loan rate: % per annum

Agreement is to be silent

Are the General/Managing Members to be paid:

management fee of $ per annum?

marketing supervision fee of $ per annum?

PLLC formation fee of $ ?

no compensation?

annual report to be audited by certified public accountant.

The General/Managing Members also are to provide: monthly reports quarterly reports both

consent of Limited Members is to be required for major acts -- vote required:

sale of all assets

sale of Real Estate

mortgaging of Real Estate

borrowing of money in excess of $

settlement of claims in excess of $

establishment of reserves in excess of $

merger or consolidation

Members are to have a right of first refusal for any Interest being sold

Are the other Members to agree, in advance, to buyout the interest of a Member who dies or becomes totally disabled (or retires)? Yes No If yes, which will apply?:

buyout on death

buyout on disability

buyout on retirement

Buyout funding made by:

insurance

may pay in installments evidenced by a Note to be paid in monthly installments, with a minimum amount for each installment of $ at the rate of interest of % and percent of price as cash down payment of %

The purchase price is to be based on book value fair value based on the assets and liabilities of the PLLC, to be stipulated annually or determined by appraisal good will is to be taken into account, whether or not carried on the books

stipulate present value of 1% Interest: $

stipulate minimum future value of 1% Interest: $

Are disputes to be resolved by arbitration? Yes No

Do you want a limited Member to have a priority right over other limited Members for repayment of its contributions? Yes No

Do you want a limited Member to have a priority right over other limited Members for repayment of capital contributions on dissolution of the PLLC? Yes No

If yes to either of the above, which limited Member shall have priority for repayment?

Signature:

Name:

Date:

Signature:

Name:

Date:

Signature:

Name:

Date:

Signature:

Name:

Date:

Enter text✕

What the Professional Limited Liability Company Formation Questionnaire Is

The Professional Limited Liability Company Formation Questionnaire collects the factual, licensing, ownership, and organizational information needed to form a professional limited liability company (PLLC). It requests professional license type and number, member and manager identities, registered agent and principal office, business purpose, capitalization, and any state-mandated professional attachments. Responses are used to draft articles of organization, operating agreements, and professional board attachments before filing with the appropriate state agency. The questionnaire can be completed electronically where state law permits.

Why a Standardized Questionnaire Matters for PLLC Formation

A standardized questionnaire ensures capture of regulatory and identity details required by state law, reduces drafting errors in formation documents, and documents professional qualifications for licensing boards. Accurate answers lower the risk of state rejection and streamline drafting of the operating agreement and filing packet.

Why a Standardized Questionnaire Matters for PLLC Formation

Who Prepares and Uses This Questionnaire

Attorneys, CPAs, professional practice managers, and licensed practitioners (physicians, attorneys, architects, accountants) typically prepare or supply answers to the formation questionnaire.

  • Solo and multi-member PLLC founders needing state license verification documentation.
  • Law firms and medical groups converting practices to PLLC structures.
  • Corporate service providers and formation specialists preparing articles and operating agreements.

The completed questionnaire becomes the single source of truth for formation documents, compliance checks, and future amendments or board communications.

Step-by-Step: Complete the Questionnaire

Follow these steps to complete the Professional Limited Liability Company Formation Questionnaire accurately before drafting and filing formation documents.

  • 01
    Prepare documents: Gather licenses, IDs, and member information.
  • 02
    Complete fields: Enter names, addresses, license numbers, and ownership.
  • 03
    Review for accuracy: Confirm spelling, percentages, and date formats.
  • 04
    Sign and store: Collect signatures, notarize if needed, save copies securely.

Recommended Electronic Workflow Settings

Configure an electronic workflow to route the questionnaire for review, signature, and archival using role-based routing and conditional fields.

Workflow Field and Configuration Guide Field name | Recommended configuration for state filings
Signer Role, Order, and Authentication Members sign first; managers second; use email or SMS code.
Conditional Field Visibility and Logic Rules Show professional license fields only for licensed-member entries.
Document Routing and Reviewer Notifications Route drafts to counsel, then to members for signature; notify via email.
Archive Settings and Retention Policy Save final PDF and audit trail to secure cloud storage for retention.

Typical Routing from Questionnaire to Filing

This shows the routing sequence for the questionnaire from collection through filing and storage in electronic systems.

  • Upload: Sender uploads completed questionnaire and supporting documents.
  • Review: Designated reviewer confirms licensing details and correctness.
  • Sign: Authorized signers apply signatures; notarize remotely if state permits.
  • File: Draft articles produced and filed with the secretary of state.

Key Components Built into an Effective Questionnaire

Core elements in the questionnaire support accurate formation: license capture, ownership allocation, registered agent details, conditional compliance fields, eSignature compatibility, and attachments for state professional licensing.

License Capture

Record professional license type, issuing authority, license number, and expiration dates. The questionnaire encourages attaching state license copies to speed verification and reduce back-and-forth with licensing boards.

Ownership

Specify member percentages, classes of membership, capital contributions, and voting rights. Clear ownership statements determine tax classification and management control in the operating agreement and state filings.

Registered Agent

Collect name, physical address, and contact details for the registered agent. Accurate agent information ensures reliable service of process and receipt of official state correspondence.

Conditional Compliance

Include conditional fields that appear for certain professions or ownership structures, such as state-mandated professional attachments or certificate upload requirements.

eSignature Ready

Design fields for electronic signatures consistent with ESIGN and UETA where permitted; record audit trails, timestamps, and signer attribution for enforceability.

Attachments

Provide slots for professional board consents, malpractice insurance certificates, and any state-required declarations so the formation packet is complete at filing.

Essential Information to Include

Entity Name: Exact business name for articles
License Details: Type, number, issuing state
Member Info: Names, addresses, ownership percentages
Registered Agent: Name and physical address required
Purpose: Brief description of services
Attachments: Licenses, insurance, and consents

Common Mistakes to Avoid

  • Incomplete license numbers or wrong issuing state delay filings and often require resubmission or supplemental affidavits to state licensing boards.
  • Using a PO box for registered agent or principal office leads to rejection; most states require a physical street address for service of process.
  • Vague ownership descriptions such as 'equal shares' without percentages can create tax ambiguity and complicate drafting of operating agreements.
  • Failing to attach required professional certifications, malpractice insurance proofs, or board consents may result in state submission holds.

Penalties and Risks of Incorrect or Incomplete Responses

Filing Rejection: State may reject articles
Processing Delays: Delays in formation and licensing
Monetary Fines: Possible fines for misfiled records
Tax Consequences: Incorrect tax status or classification
Withholding Risk: Backup withholding if TIN missing
Professional Discipline: Licensing board sanctions possible

Platform Capabilities to Support the Questionnaire

Technical platforms supporting electronic completion should accept PDF/DOCX uploads, support conditional fields, and integrate with CRM or document storage.

  • File formats: PDF, DOCX, and XLSX supported
  • Integrations: Salesforce, NetSuite, Google Workspace, Box
  • Authentication: Email, SMS code, or advanced auth

eSignature Vendor Pricing and Feature Snapshot

Compare starting price, free trial, bulk send, audit trail, HIPAA support, and envelope caps across vendors to choose an eSignature provider for PLLC formation workflows.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Check vendor plans Check vendor plans Check vendor plans Check vendor plans
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No
Envelope Cap No cap 100 envelopes/user/year Varies by plan Varies by plan Varies by plan

FAQs: Completing and Filing the Questionnaire

Common questions and answers about completing, signing, and filing the Professional Limited Liability Company Formation Questionnaire.


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