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LLC Questionnaire

1. Which state would you like to incorporate in?

2. Proposed name of corporation:

3. If the above name is unavailable, list two additional names in the order of preference:

4. Principal Business Address

Street Address Address Line 2 City State ZIP Code

5. Is the mailing address the same as the business address?

Yes

No

6. Mailing Address

Street Address Address Line 2 City State ZIP Code

7. Phone

8. Email

9. Registered Agent

10. Registered Agent Address

Street Address Address Line 2 City State ZIP Code

11. Describe the corporation's type of business:

12. Full name(s) and address(es) of members and their proportionate interest in the corporation:

Name

Percentage or No. of Member Units

Address

13. Please list names and complete addresses of the managing members:

Managing Member

Name

Address

There may be multiple managing members

14. Please list names and complete addresses of members:

Member

Name

Address

15. Please check the following:

Manager Managed

Member Managed

16. Would you like us to obtain an Employer ID number for the corporation?

Yes

No

17. If yes, will the principal officer of the corporation be an:

Individual

Existing Business

18. If you answered individual, please provide the following information for the principal officer:

Name

Address

Phone

Social Security Number

19. If you answered "existing business", please provide the following information:

Name of Existing Business

Employee ID Number (EIN)

20. Does a Manager or Member have an outstanding final judgment issued by the Labor Standards Enforcement or a court of law, for which no appeal therefrom is pending, for the violation of any wage order or provision of the Labor Code?

Yes

No

21. Do you plan on having employees?

Yes

No

22. Indicate principal line of merchandise sold, specific construction work done, products produced, or services provided:

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hblaw.io

Dell Mar: 12526 High Bluff Dr, Ste 300, San Diego, CA 92130

Rancho Cucamonga: 10832 Laurel St, Ste 203, Rancho Cucamonga, CA 91730

College Park, MD: Virtual Office

Satellite Office: 10832 Laurel St, Ste 203, Rancho Cucamonga, CA 91730

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