Application For Certificate Of Authority Of Limited Liability Company {LLF-1}

1.The name of the limited liability companyas registered in its home state is: FILE ONE ORIGINAL (Two if you want a filed stamped copy returned to you.)FILING FEE: $150 *Fee Waived for Veteran-owned organizationControl # *** The undersigned, having authority to transact business on behalf of a foreign (out-of-state) registered entity, agrees to *** comply with the requirements of West Virginia Code 24731B-10-1002 to apply for Certificate of Authority. 4.The address of the principal office of the company will be: Located in the County of (required): Street: City: Street: State: Zip Code: The mailing address of the above location, if different, will be:5.The address of the initial designated(physical) office of the company inWest Virginia, if any, will be: Zip Code: State: City: Street: Zip Code: State: City: 3.The company will be a: [Seeinstructions for limitations on professionswhich may form PLLC in WV. Allmembers must have WV professionallicense. See (*) note at the right.] Regular LLC Professional LLC* for the profession of: Series LLC [WV Code 24741-1A-14(c)] CHECK HERE to indicate you have obtained and submitted with this application a CERTIFICATE OF EXISTENCE (GOOD STANDING), dated during the current tax year, from your home state of original formation as required to process your application. The certificate may be obtained by contacting the Secretary of State's Office in the home state of original formation. and the State or Country of organization is:2.The business name to be used in WestVirginia will be: [The name must con- tain one of the required terms such as "limited liability company" or abbreviationssuch as "LLC" or "PLLC." See instructionsfor complete list of acceptable terms and re- quirements for use of Trade Name.] Home State name as listed in Section 1. above, if available in West Virginia DBA Name(If name is not available, check DBA Name box below and follow special instructions in Section 2. attached.)(See special instructions in Section 2. regarding the Letter of Resolution attached to this application. View a sample Letter of Resolution .) County: Located in the County of: County: Professional business organizations: CHECK BOX indicating you have attached the state licensing board Verification of Eligibility (Form VOE ) to these Articles if your profession meets the requirements as defined by Chapter 30 of WV Code. Your application will be rejected if the VOE is not attached. (See Section 3. of the attached instructions for list of accepted professions.)West Virginia Secretary of State Business & Licensing Division Tel: (304)558-8000 Fax: (304)558-8381 Website: www.wvsos.gov WEST VIRGINIA APPLICATION FOR CERTIFICATE OF AUTHORITY OF LIMITED LIABILITY COMPANY Form LLF-1 Rev. 06/2018 - Those persons who are liable in their capacity as members for all debts, obligations or liability of the company have consented in writing to the adoption of the provision or to be bound by the provision. No - All debts, obligations and liabilities are those of the company. Yes12.All or specified members of a limitedliability company are liable in theircapacity as members for all or specifieddebts, obligations or liabilities of thecompany (required):WEST VIRGINIA APPLICATION FOR CERTIFICATE OF AUTHORITY OF LIMITED LIABILITY COMPANYPage 28.Website address of the business, if any (ex: yourdomainname.com): 7.E-mail address where business correspondence may be received:10.The company is:(required) an AT-WILL company, conducting business for an indefinite period. a TERM company, conducting business for the term of years. Zip Code: State: City: Street: Name:6.Agent of Process:may be sent, if any, will be: Zip Code: State: City: Street: The mailing address of the above location, if different, will be: 5.(Continued from previous page....) 9.Do you own or operate more than one business in West Virginia? b.Located in how many West Virginia counties? If "Yes"... a. How many businesses? Yes No Decline to answer* Answer a. and b. below.if selecting this management structure. Attach additional pages if necessary.] MEMBER-MANAGED [All member information must be entered under 11a. above.] b.The company is -CHECK ONE (Required): 11. a. List the name(s) and address(es) of the MEMBER(S) of the company (required; Note: The application will be rejected if member information is not provided below. Attach additional pages if necessary): Member Name No. & Street Address City State Zip Code MANAGER-MANAGED [All manager information must be entered in the spaces below Manager NameNo. & Street Address City State Zip Code 14.Is the business a Scrap Metal Dealer?15.Other provisions which may be set forth in the operating agreement or matters not inconsistent with law:[See instructions for further information; use extra pages if necessary.]Page 3 19.Contact and Signature Information* (See below Important Legal Notice Regarding Signature): a.Contact person to reach in case there is a problem with filing:*Important Legal Notice Regarding Signature: Per West Virginia Code 24731B-2-209 . Liability for false statement in filed record.If a record authorized or required to be filed under this chapter contains a false statement, one who suffers loss by reliance on the statement may recover damages for the loss from a person who signed the record or caused another to sign it on the person's behalf and knew the statement to be false at the time the record was signed. Important Note: This form is a public document. Please do NOT provide any personal identifiable information on this form such as social security number, bank account numbers, credit card numbers, tax identification or driver's license numbers. 16.The number of pages attached and included in these Articles is: 17.The requested effective date is:[Requested date may not be earlier than filing nor later than 90 days after filing in our office.] the date and time of filing in the Secretary of State's Office. the following date and time.WEST VIRGINIA APPLICATION FOR CERTIFICATE OF AUTHORITY OF LIMITED LIABILITY COMPANY Phone: Date: c.Signature: Title/Capacity of signer: b.Print or type name of signer:18.Is the organization a "veteran-owned" organization?National Personnel Records Center Military Personnel Records 1 Archives Drive St. Louis, MO 63138 Toll free: 1-86-NARA-NARA or 1-866-272-6272 Phone: 314-801-0800 www.archives.gov/veterans/military-service-recordsYou may obtain a copy of your Veterans Affairs Form DD214 by contacting: Yes (If "Yes," attach Form DD214) No CHECK BOX indicating you have attached Veteran Affairs Form DD214 Effective JULY 1, 2015, to meet the requirements for a 223veteran-owned224 organization, the entity filing the registration must meet the following criteria per West Virginia Code 24759-1-2a : 1.A 223veteran224 must be honorably discharged or under honorable conditions, and2.A 223veteran-owned business224 means a business that meets one of the following criteria:oIs at least fifty-one percent (51%) unconditionally owned by one or more veterans; oroIn the case of a publicly owned business, at least fifty-one percent (51%) of the stock is unconditionally owned by one ormore veterans.Per WV Code 59-1-2(j) effective July 1, 2015, the registration fee is waived for entities that meet the requirements as a "veteran-owned" organization. See attached instructions to determine if the organization qualifies for this waiver. In addition, a "veteran-owned" entity will have four (4) consecutive years of Annual Report fees waived AFTER the organization's initial formation [see WV Code 59-1-2a(m) ]. Yes [If "Yes," you must complete the Scrap Metal Dealer Registration Form (Form SMD-1) and proceed to Section 15.] No [Proceed to Section 15.] 13.The purpose(s) for which this limited liability company is formed is as follows:[Describe the type(s) of business activity which will be conducted, for example, 223real estate,224 223construction of residential and commercialbuildings,224 223commercial painting,224 223professional practice of law" (see Section 2. for acceptable "professional" business activities). Purposemay conclude with words 223205including the transaction of any or all lawful business for which