Certificate Of Publication (Foreign LLC) {DOS-1707-f}

DOS-1707-f (Rev. 03/17) Page 1of 2 New York StateDepartment of State DIVISION OF CORPORATIONS, STATE RECORDS AND UNIFORM COMMERCIAL CODE One Commerce Plaza 99 Washington Ave. Albany, NY 12231-0001 www.dos.ny.gov CERTIFICATE OF PUBLICATION OF (Name of Foreign Limited Liability Company) Under Section 802 of the Limited Liability Company Law The undersigned is the (Check appropriate box) Member Manager Authorized Person of . (Name of Foreign Limited Liability Company) If the name of the foreign limited liability company has changed, the name under which it was authorized is: . If applicable, the fictitious name the foreign limited liability company has agreed to use in this state is: . The application for authority was filed by the Department of State on: . The published notices described in the annexed affidavits of publication contain all of the information required by Section 802 of the Limited Liability Company Law. The newspapers described in such affidavits of publication satisfy the requirements set forth in the Limited Liability Company Law and the designation made by the county clerk. I certify the foregoing statements to be true under penalties of perjury. X (Signature) (Date) (Type or Print Name) American LegalNet, Inc. www.FormsWorkFlow.com DOS-1707-f (Rev. 03/17) Page 2of 2CERTIFICATE OF PUBLICATION OF (Name of Foreign Limited Liability Company) Under Section 802 of the Limited Liability Company Law Filer222s Name and Mailing Address: Name: Company, if Applicable: Mailing Address: City, State and Zip Code: NOTES: 1. The name of the foreign limited liability company and the date of filing of the application for authority must exactly match the records of the Department of State. This information should be verified on the Department of State222s website at www.dos.ny.gov. 2. This form was prepared by the New York State Department of State for filing a certificate of publication for a foreign limited liability company. You are not required to use this form. You may draft your own form or use forms available from legal stationery stores. 3. The Department of State recommends that legal documents be prepared under the guidance of an attorney. 4. This certificate of publication, with the affidavits of publication of the newspapers annexed thereto, must be submitted with a $50 filing fee payable to the Department of State. (For office use only) Attach this page after the affidavits of publication. American LegalNet, Inc. www.FormsWorkFlow.com