llc-annual-report

LLC Name

Name Must End with "LLC" or "Limited Liability Company"

Document Number

* List 0000 if you cannot locate your document number

EIN/FEI Number

Principal Place of Business The principal address must be a street address, no PO Box allowed.

Street Address

Principal Place of Business The principal address must be a street address, no PO Box allowed.

Suite / Apt #

City

State

Zip Code

Mailing Address

Street / PO Box

Mailing Address

Suite / Apt #

City

State

Zip Code

Registered Agent First Name

Registered Agent Last Name

Registered Agent address MUST be a Florida street address. No out of state address or PO Box allowed.

Registered Agent Address

Street

Registered Agent Address

Suite / Unit #

Registered Agent Address

City

Register Agent State Must Be Florida

Registered Agent Address

Zip Code

Registered Agent Signature

Type registered agent name

Accept Terms

Yes

I, the party submitting this form verify that I have read and understand the Terms of Service and allow Florida Registrations to file the above information with the appropriate state agency, under my name.

Name, E-mail and Phone Number of person to whom correspondence pertaining to this filing should be emailed.

Name

Email Address

Phone Number

Include FREE Design and Marketing Consultation.

Yes No

Include FREE Business Taxes Webinar and Consultation with a Tax Professional.**

Yes No

** Florida Registrations encourages all new businesses to speak with a tax professional about the tax implications of their business IMMEDIATELY after forming your business.

Select Number of AMBRs or MGRs to be listed on this LLC record.

Title

AMBR, MGR, etc.

First Name

Middle Initial

Last Name

Laste Name

Address

City

city

State

Zip Code

I hereby certify that the information supplied with this filing does not qualify for the exemptions contained in Chapter 119, Florida Statutes.

I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am authorized to execute this report as required by Chapter 605, Florida Statutes; I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s. 817.155 , F.S.

Type Name of Individual Signing

Title

Florida Registrations

LLC Compliance Florida

LLC ANNUAL REPORT FILING