Fill and Sign the Utah Llc How to Form an Llc in Utah How to Start an Llc

Important: Read instructions before completing form Non-Refundable Processing Fee: $70.00 1. Name of Limited Liability Company: 2. Principal office address: Street Address Required PO Box can be listed after Street Address ______________________________________________________________________________________________ Address City State Zip 3. The name of the Registered Agent (Individua l or Business Entity or Commercial Registered Agent): __________________________________________________________________________________________ The address must be listed if you have a non-commercial regi stered agent. See instructions for further details. Address of the Registered Agent: _________________________________________ ____________________ Utah Street Address Required, PO Boxes can be listed after the Street Address City: State UT Zip: 4. Signature of Organizer Signature: 5. Name and Address of Members and/or Managers (optional): 1. ________________________________________________________________________________ ________________________________ Name Position _____________________________________________________________________________________________________________ Address City State Zip 2. ________________________________________________________________________________ ________________________________ Name Position _____________________________________________________________________________________________________________ Address City State Zip The duration of the company shall be perpetual 6. Duration (optional): The duration of the company shall be _____________________________ 7. Purpose (optional): Under GRAMA {63-2-201}, all registration information maintained by the Division is cl assified as public record. For confidentiality purposes, you may use the business entity physical address rather than the residential or private address of any individual affiliated with the entity. Optional Inclusion of Ownership Information: This information is not required. Is this a female owned business? Yes No Is this a minority owned business? Yes No If yes, please specify: State of Utah Department of Commerce Division of Corporations & Commercial Code Certificate of Organization (Limited Liability Company)