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Limited Liability Company
Step
1
of
5
– Client Information
20%
Are you and existing client of Esquire Assist?
(Required)
Yes
No
Return Document by
Email
Mail
Your Name and Firm Name
(Required)
Email
(Required)
Phone
(Required)
Address
(Required)
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Zip Code
I qualify for a veteran/reservist-owned small business fee exemption
Yes
Attach a photo of DD214 or a Military ID Card
(Required)
Max. file size: 5 MB.
The name of the limited liability company is
(Required)
(designator is required, e.g., “company,” “limited” or “limited liability company” or any abbreviation thereof)
Registered Address
(Required)
Physical Address within PA
Commercial Registered Office Provider (for those that have no physical address in PA to use or that they do not want to use)
The address of this limited liability company’s registered office in this Commonwealth
(Required)
Number and Street, City, State, Zip (post office box alone is not acceptable)
The county of this limited liability company’s registered office in this Commonwealth
(Required)
Use AAAgent Servicess, LLC as my Commercial Registered Office Provider?
(Required)
Yes
No
Our Sister company “AAAgent Services, LLC” can provide this service for a very reasonable annual fee.
Name of Commercial Registered Office Provider
(Required)
The name of this limited liability company’s commercial registered office provider.
County
(Required)
Select County
Adams
Allegheny
Armstrong
Beaver
Bedford
Berks
Blair
Bradford
Bucks
Butler
Cambria
Cameron
Carbon
Centre
Chester
Clarion
Clearfield
Clinton
Columbia
Crawford
Cumberland
Dauphin
Delaware
Elk
Erie
Fayette
Forest
Franklin
Fulton
Greene
Huntingdon
Indiana
Jefferson
Juniata
Lackawanna
Lancaster
Lawrence
Lebanon
Lehigh
Luzerne
Lycoming
McKean
Mercer
Mifflin
Monroe
Montgomery
Montour
Northampton
Northumberland
Perry
Philadelphia
Pike
Potter
Schuylkill
Snyder
Somerset
Sullivan
Susquehanna
Tioga
Union
Venango
Warren
Washington
Wayne
Westmoreland
Wyoming
York
The county of venue.
Name of Commercial Registered Office Provider
(Required)
The name of this limited liability company’s commercial registered office provider.
County
(Required)
Select County
Adams
Allegheny
Armstrong
Beaver
Bedford
Berks
Blair
Bradford
Bucks
Butler
Cambria
Cameron
Carbon
Centre
Chester
Clarion
Clearfield
Clinton
Columbia
Crawford
Cumberland
Dauphin
Delaware
Elk
Erie
Fayette
Forest
Franklin
Fulton
Greene
Huntingdon
Indiana
Jefferson
Juniata
Lackawanna
Lancaster
Lawrence
Lebanon
Lehigh
Luzerne
Lycoming
McKean
Mercer
Mifflin
Monroe
Montgomery
Montour
Northampton
Northumberland
Perry
Philadelphia
Pike
Potter
Schuylkill
Snyder
Somerset
Sullivan
Susquehanna
Tioga
Union
Venango
Warren
Washington
Wayne
Westmoreland
Wyoming
York
Dauphin County is our default county but you can select any of the PA counties for Venue and Official Publication Purposes
The specified future effective date, if any
MM slash DD slash YYYY
Will the company be a restricted Professional LLC?
Yes
Select the type(s) of restricted professional service(s)
(Required)
Chiropractic
Dentistry
Law
Medicine and surgery
Optometry
Osteopathic medicine and surgery
Podiatric medicine
Public accounting
Psychology
Veterinary medicine
This limited liability company shall have the purpose of creating general public benefit
Yes
Only select this option if the entity is intending to create a “public benefit” as defined in the statute.
This limited liability company shall have the purpose of creating the enumerated specific public benefit(s)
Yes
Only select this option if the entity is intending to create a “public benefit” as defined in the statute. “Specific public benefit” includes: (1) providing low-income or underserved individuals or communities with beneficial products or services; (2) promoting economic opportunity for individuals or communities beyond the creation of jobs in the normal course of business; (3) preserving the environment; (4) improving human health; (5) promoting the arts, sciences or advancement of knowledge; (6) promoting economic development through support of initiatives that increase access to capital for emerging and growing technology enterprises, facilitate the transfer and commercial adoption of new technologies, provide technical and business support to emerging and growing technology enterprises or form support partnerships that support those objectives; (7) increasing the flow of capital to entities with a public benefit purpose; and (8) the accomplishment of any other particular benefit for society or the environment.
List the specific public benefit(s).
(Required)
This Paragraph Only Applies to Corporations being created for a Public Benefit as defined by law.
Attach Additional Provisions here.
Max. file size: 20 MB.
IN TESTIMONY WHEREOF, the organizer(s) has (have) executed this Certificate of Organization this
Date
(Required)
MM slash DD slash YYYY
Number of Organizers
Organizer Name
(Required)
Add
Remove
Organizer Signature
(Required)
Add
Remove
By typing your name here you understand that the document will be digitally signed by you as if you manually signed a form.
Docketing Statement
Company Name
The name of the person responsible for the filing of tax returns
Actions
Edit
Delete
There are no
docketing statements.
Add Docketing Statement
Maximum number of docketing statements reached.
How would you like this form submitted?
(Required)
Routine
Expedited
Expedited Options
(Required)
$100 (8-10 AM – Back by 5 PM)
$300 (8 AM – 2 PM – Back within 3 hours)
$1,000 (8 AM to 4 PM – Back within 1 hour /pre authorization required)
Call us with any questions about these options as our cutoff times are different from the State.
Please include any special instructions
Phone
This field is for validation purposes and should be left unchanged.
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