STATE OF SOUTH CAROLINA 
                                    SECRETARY OF STATE 

APPLICATION FOR A CERTIFICATE OF AUTHORITY BY A FOREIGN LIMITED LIABILITY COMPANY 
                         TO TRANSACT BUSINESS IN SOUTH CAROLINA 

The following Foreign Limited Liability Company applies for a Certificate of Authority to Transact Business in South 
Carolina in accordance with Section 33-44-1002 of the 1976 S.C. Code of Laws, as amended. 

1. The name of the foreign limited liability company which complies with Section 33-44-1005 of.C.the 1976 S
 Code of Laws, as amended is:

2. The name of the State or Country under whose law the company is organized is _____________________________

3. The street address of the Limited Liability Company’s principal office is

 _____________________________________________________________________________________________
 (Street Address)
 _____________________________________________________________________________________________
 (City, State, Zip Code)

4. The address of the Limited Liability Company’s current designated office in South Carolina is

 _____________________________________________________________________________________________
 (Street Address)
 _____________________________________________________________________________________________
 (City, State, Zip Code)

5. The street address of the Limited Liability Company’s initial agent for service of process in South Carolina is

 _____________________________________________________________________________________________
 (Street Address)

 _________________________________________________________ South Carolina _______________________
 (City)                                                                                    (Zip Code)

 And the name of the Limited Liability Company’s agent for service of process at the address is:

 _____________________________________________________________________________________________
 (Name)

 _____________________________________________________________________________________________
 (Signature of Agent)

6.     Check this box only if the duration of the company is for a specified term, and if so, the period specified

       _____________________________________________

                                                      Form Revised by South Carolina Secretary of State, August 2016 
                                                                                                                  F0008 

                            Name of Limited Liability Company 

7.   Check this box if the company is manager-managed.  If so, list the names and business addresses of each
     manager.
(a) 

_____________________________________________________________________________________________ 
(Name) 

_____________________________________________________________________________________________ 
(Address) 
_____________________________________________________________________________________________ 
(City, State, Zip Code) 

(b)

_____________________________________________________________________________________________ 
(Name) 

_____________________________________________________________________________________________ 
(Address) 
_____________________________________________________________________________________________ 
(City, State, Zip Code) 

8.   Check this box if one or more of the members of the foreign limited liability company are to be liable for the
     company’s debt and obligation under a provision similar to Section 33-44-303(c) of the 1976 S.C. Code of 
     Laws, as amended.

Date: ___________________ 

_____________________________________________________________________________________________ 
Signature  

_____________________________________________________________________________________________ 
Name 

_____________________________________________________________________________________________ 
Capacity/Title 

                          Form Revised by South Carolina Secretary of State, August 2016 
                                                                                                     F0008 

                                       FILING INSTRUCTIONS 
                                        
 1. This application must be accompanied by an original certificate of existence not more than 30 days old (or a record 
    of similar import) authenticated by the Secretary of State or other official having custody of the Limited Liability 
    Company records in the state or country under which it is organized. 
 2. Two copies of this form, the original and either a duplicate original or a conformed copy, must be filed.  Include a self-
    addressed stamped envelope to have a filed copy returned to you by mail. 
 3. If the space in this form is insufficient, please attach additional sheets containing a reference to the appropriate 
    paragraph in this form. 
 
 4. If management of a limited liability company is vested in managers, a manager shall execute this form. If management 
    of a limited liability company is reserved to the members, a member shall execute this form. Specify whether a member 
    or manager is executing this form. 
 
 5. This form must be accompanied by the filing fee of $110.00 payable to the Secretary of State. 
 
    Return to: Secretary of State 
    ATTN: Corporate Filings 
    1205 Pendleton Street, Suite 525 
    Columbia, SC 29201 
 
                                       Form Revised by South Carolina Secretary of State, August 2016 
                                                                                                  F0008