Application for LLC - Seton & Associates

1) In what state will you be forming your new organization?

State

2) Will you be operating in any other states other than the above?

Yes
No

If yes, which states?

3) Will you be seeking monies from investors to capitalize your company?

Yes
No

If yes, how much?

From whom?

4) What is the value of your company in today's dollars? (If applicable)

5) Company Name

a) The name of your organization will be:*

b) If your first choice is unavailable, an alternative name will be:

6) Business Purpose

7) No. of Units of Member Stock

8) Contact Information

This is the sole authorized contact that we will communicate with throughout the application process.

Contact*

Title

Phone*

Fax

Email*

9) Principal Place of Business

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

10) Founder(s)

Please list the names of the company's founders. A founder is the person with the vision for the LLC.

Name 1

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Compensation

Name 2

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Compensation

Name 3

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Compensation

11) Resident Agent

This is a person who will accept legal service of process; must be a real person residing in your state.; cannot be a P.O. Box

Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

12) Owners

If you need additional space to list more Owners, please list them on a separate attachment.

Name 1

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Ownership Interest (in %)

What will the owner give in exchange for the ownership percentage?

Cash
Services
Property
Other

If other, state here:

Name 2

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Ownership Interest (in %)

What will the owner give in exchange for the ownership percentage?

Cash
Services
Property
Other

If other, state here:

Name 3

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Ownership Interest (in %)

What will the owner give in exchange for the ownership percentage?

Cash
Services
Property
Other

If other, state here:

Name 4

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Ownership Interest (in %)

What will the owner give in exchange for the ownership percentage?

Cash
Services
Property
Other

If other, state here:

13) Will any of the owners also be employed by the LLC?

Yes
No

If yes, who will be employed, what are their duties, and what are their salaries?

Name	Duties	Salary

14) Operators of Business

The operators are people who will have control over the operations of the LLC.

Name 1

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email

Compensation

Name 2

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email

Compensation

Name 3

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email

Compensation

Name 4

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email

Compensation

15) Are there any decisions that the LLC will make which requires the participation/vote of persons not listed above in question #12?

Yes
No

16) What strategies do the founders have for the LLC? For example, looking to sell the business in two years, expand markets, etc.?

17) Employer Identification Number

As part of our formation package, a Form SS-4 will be filed for your new entity. The Form SS-4 is what gives your organization an Employer Identification Number (EIN). To assist us in filing the Form SS-4, please provide the information requested below. All sensitive data filled out on this form will be encrypted.

Principal Officer

Social Security Number

Closing Month of Accounting Year

First Date Wages Will Be Paid

Highest # of employees expected in the next 12 mos.

Is the Principal Business Activity manufacturing a good?

To whom are most of your products/services sold?

Principal Activity

What will you be selling? (Services, goods, or N/A)

Have you ever applied for EIN before?

Yes
No

If yes, when?

In what State and City?

EIN Number

18) Billing & Mailing Information

Billing Information

Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Fax

Email

Mailing Information

To use Billing Information above

Check here

Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Fax

Email

Payment Information

All sensitive data filled out on this form will be encrypted.

Card Type

Visa
Mastercard

Name of Cardholder

Credit Card Number

Expiration

3 Digit V-Code