Transmittal Information For Georgia Limited Liability Company {CD 231}

Secretary of State OFFICE OF SECRETARY OF STATE CORPOR A TIONS DIVISION 2 Martin Luther King Jr. Dr. SE Suite 313 West Tower Atlanta, Georgia 30334 (404) 656 - 2817 sos. ga.gov TR A N SMITT A L INFORMATION FORM GEORGIA LIMITED LIABILITY COMPANY IMPORTANT : P lease p rovide the primary e mail address w hen completing this form. Primary Email Address : NOTICE TO A PPLIC A NT: PRINT PL A INLY OR TYPE REM A INDER OF THIS FORM 1. LLC Name Reservation Number ( I f one has been ob t ained; if articles are being fi l ed w ithout prior reservation, leave this line blank . ) LLC Name (List exactly as it appears in articles . ) 2. Name of P erson F iling A rticles of Organization ( C ertificate w ill be e mailed to this person at address listed belo w . ) Address City State Zip Code Filer Email Address Telephone Number 3. Principal Office Mailing Address of LLC (Unlike registered office address, this may be a post office box . ) City State Zip Code 4. Name of Registered Agent in Georgia Registered Office Street Address in Georgia (Post office box or mail drop not acceptable for registered office address . ) GA City County State Zip Code Email Address 5. Name and Address of Each Organizer ( Attach additional sheets if necessary.) Organizer Address City State Zip Code Organizer Address City State Zip Code 6. Mail the follo w ing items to the Secretary of State at the above address: 1) This Transmittal Information Form ; 2) T he Articles of Organization ; and 3) Filing fee of $100.00 pa y able to Secretary of State. Filing fees are non - refundable . I understand that this Transmittal Information Form is included as part of my filing, and the information on this form w ill be entered in the Secretary of State business entity database. I certify that the abo v e information is true and correct to the best of my kno w ledge. Signature of Authorized Person Date Print name FORM 231 ( Rev . 10 /2018 ) American LegalNet, Inc. www.FormsWorkFlow.com