FORM A COMPANY
Requester's Name
*
First Name
Last Name
Request Date
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Company Structure
*
C-Corporation
S-Corporation
LLC-Partnership
LLC-Sole Proprietorship
File a DBA
Select a State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Select Package & Options
*
Standard: 5-6 Weeks
Rush Filing Service: 3-5 days ($20-$60); 2-3 Weeks in CA ($80)
ComplianceLock™ ($5/Month)
Free E-Delivery (email - $0.00)
FedEx Air Delivery ($25)
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Order Information
Shipping Address:
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
County
*
County
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
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Corporation/LLC Name
Choose the First Name Choice for this Corporation/LLC
*
Choose an Alternative Name for this Corporation/LLC
*
Business Purpose
*
Business Address:
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
County
*
County
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Value of Shares of the Corporation
(*for Corporations only)
Shares and
*
Number of Shares
Par Value
*
$ / Par Value or No Par Value
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Officers of the Corporation
*for LLC go to the next page
President
*
Full legal name
Secretary
*
Full legal name
Vice-President
Full legal name
Treasurer
Full legal name
Board of Directors
Director 1
*
First Name
Last Name
SSN
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Director 2
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Director 3
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Members of LLC
**for Corporation go back to the previous page
Member 1
Entity Full Legal Name
Member 1 FEIN
Entity FEIN
Member 1 Representative/Manager
*
Member Full Legal Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Member 2
Individual or Entity Full Legal Name & % held
Member 2
FEIN
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Member 3
Individual or Entity Full Legal Name & % held
Member 3
FEIN
Member 4
Individual or Entity Full Legal Name & % held
Member 4
FEIN
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Additional Instructions and Comments
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
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