1. Contact Information
Contact name and address
First Name
Last Name
Street
Address
City
State
Not Selected
AL
AR
GA
FL
KY
LA
NC
MS
SC
TN
TX
Other
If other:
Zip/Postal
Code
Phone
Other Phone
E-mail
2. Name of Company and Main
Business Purpose
Please provide the company name and
address for your new LLC
Your company name will
be filed with the state exactly as it is entered below.
First Choice Name
Second Choice Name
Your company name will end
with LLC unless you select a different option.
You may choose one of these
endings:
Not Selected
LLC
Limited Liability Company
Street
Address
Use
Contact Address/Information from #1 above
City
County
State
Not selected
AL
AR
GA
FL
KY
LA
NC
MS
SC
TN
TX
Other
If other:
Zip code
Phone
Use Contact Phone
Fax
Main Business Purpose
Please provide a brief
description of your main business activity (this does
not limit your business to this activity.) Examples:
auto repair, computer consulting, retail clothing store.
Description:
3. Management Structure of the LLC
and Member Information
Most LLCs are managed by all
its members or owners (“Member-Managed”). In some cases,
however, the LLC may not be managed by all its members. In
those cases, specially designated members or nonmembers will
manage the LLC (“Manager-Managed’). Please select how you
want your LLC managed (most choose Member-managed)
Not Selected
Member-managed
Manager-managed
The members of an LLC are its
owners. Only one member is required. Please provide the
member information below. The contribution used to
start your business and date of
contribution information is requested for inclusion into
your operating agreement. This information is not made
public.
Members
Member
#1
Check if same as contact information in
#1 but please
complete amt. of contribution, date of contribution, %
interest in LLC.
First Name
Last Name
Address
City
State
Not selected
AL
AR
GA
FL
KY
LA
NC
MS
SC
TN
TX
Other
If other:
Zip Code
Amt. Contribution
Date of Contribution
Jan.
Feb.
Mar.
Apr.
May
Jun.
Jul.
Aug.
Sep.
Oct.
Nov.
Dec.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2007
2008
% Interest in LLC
0%
25%
50%
100%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
11%
12%
13%
14%
15%
16%
17%
18%
19%
20%
21%
22%
23%
24%
25%
26%
27%
28%
29%
30%
31%
32%
33%
34%
35%
36%
37%
38%
38%
39%
40%
41%
42%
43%
44%
45%
46%
47%
48%
49%
50%
51%
52%
53%
54%
55%
56%
57%
58%
59%
60%
61%
62%
63%
64%
65%
66%
67%
68%
69%
70%
71%
72%
73%
74%
75%
76%
77%
78%
79%
80%
81%
82%
83%
84%
85%
86%
87%
88%
89%
90%
91%
92%
93%
94%
95%
96%
97%
98%
99%
100%
Member
#2
First Name
Last Name
Address
City
State
Not selected
AL
AR
GA
FL
KY
LA
NC
MS
SC
TN
TX
Other
If other:
Zip Code
Amt. Contribution
Date of Contribution
Jan.
Feb.
Mar.
Apr.
May
Jun.
Jul.
Aug.
Sep.
Oct.
Nov.
Dec.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2007
2008
% Interest in LLC
0%
25%
50%
100%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
11%
12%
13%
14%
15%
16%
17%
18%
19%
20%
21%
22%
23%
24%
25%
26%
27%
28%
29%
30%
31%
32%
33%
34%
35%
36%
37%
38%
38%
39%
40%
41%
42%
43%
44%
45%
46%
47%
48%
49%
50%
51%
52%
53%
54%
55%
56%
57%
58%
59%
60%
61%
62%
63%
64%
65%
66%
67%
68%
69%
70%
71%
72%
73%
74%
75%
76%
77%
78%
79%
80%
81%
82%
83%
84%
85%
86%
87%
88%
89%
90%
91%
92%
93%
94%
95%
96%
97%
98%
99%
100%
Member
#3
First Name
Last Name
Address
City
State
Not selected
AL
AR
GA
FL
KY
LA
NC
MS
SC
TN
TX
Other
If other:
Zip Code
Amt. Contribution
Date of Contribution
Jan.
Feb.
Mar.
Apr.
May
Jun.
Jul.
Aug.
Sep.
Oct.
Nov.
Dec.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2007
2008
% Interest in LLC
0%
25%
50%
100%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
11%
12%
13%
14%
15%
16%
17%
18%
19%
20%
21%
22%
23%
24%
25%
26%
27%
28%
29%
30%
31%
32%
33%
34%
35%
36%
37%
38%
38%
39%
40%
41%
42%
43%
44%
45%
46%
47%
48%
49%
50%
51%
52%
53%
54%
55%
56%
57%
58%
59%
60%
61%
62%
63%
64%
65%
66%
67%
68%
69%
70%
71%
72%
73%
74%
75%
76%
77%
78%
79%
80%
81%
82%
83%
84%
85%
86%
87%
88%
89%
90%
91%
92%
93%
94%
95%
96%
97%
98%
99%
100%
4. Registered Agent
Information
A registered agent is a
person or company designated to receive mail, notices
and service of process for your LLC. Every state
requires the appointment of a registered agent and most
people serve as their own agent. The agent does not have
to be affiliated with your company but must have a
physical address in the state of formation. Because
most people serve as their own agent, these services are
not included in our package price. If you
need to hire a company to provide this service, SouthernFilings can arrange this for you.
Click here for
more information. This will add $135.00 to your package
price. You will be asked to add this service to your
order total upon confirmation.
Do you
need SouthernFilings to arrange for Registered Agent
services for you for $135 for the first year?
Not Selected
Yes, I need you to arrange for Registered Agent Services on my behalf.
No, the person listed below consents to being a Registered Agent for my company.
If you answered "No"
please provide your information below. If you answered
"Yes" above please skip to section 5 (FEIN) below.
Registered Agent
Name & Address
First Name
Use Contact Information
from Section 1.
Last Name
Street Address
P.O. Box Addresses are not permitted
City
County
State
Not selected
AL
AR
GA
FL
KY
LA
NC
MS
SC
TN
TX
Other
Zip Postal Code
5. Federal
Identification Number (FEIN) Information
Assistance obtaining a
Federal Employer Identification Number (FEIN) is
included in all our packages. You can choose from these
two service options:
1. SouthernFilings.com can
complete the application and obtain the number, or
2.
SouthernFilings.com can complete the application and
you call to obtain the number.
Please select one of these
two service options here:
Not Selected
I hereby designate SouthernFilings.com as my third party designee to obtain my FEIN from the IRS
I want SouthernFilings.com to complete the application for me but I will call the IRS.
Please provide the
following for your FEIN:
Principal Officer/Member
SSN of Principal
Officer/Member
(xxxxxxxxx)
Previously this business
was a:
Not Selected
Sole proprietorship
Partnership
Not in existence
Other (Please explain in area to the right)
Other
Will you have employees?
Not Selected
Yes
No
If yes, how many in the
next 12 months (estimate only)
What is the closing month
of your accounting year?
Not Selected
Jan.
Feb.
Mar.
Apr.
May
Jun.
Jul.
Aug.
Sep.
Oct.
Nov.
Dec.
Date business will first
begin paying wages (estimate only)
Have you ever applied for
a FEIN for this or any other business?
Not Selected
Yes
No
If yes, please provide the
previous FEIN number, city and state where you applied
and the name of the business:
Previous FEIN
City and state of previous business
Not selected
AL
AR
GA
FL
KY
LA
NC
MS
SC
TN
TX
Other
Name of previous business:
6. Special
Instructions And Acceptance of SouthernFilings.com Terms
& Conditions
Special instructions and
other information
By selecting "Yes" you
are verifying that you have completely read our
Terms and
Conditions and you agree to abide by the terms
specified therein.
Not Selected
Yes
