PDF document

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!
State of Rhode Island This legal document
Department of State - Business Services Division should be typed.
All illegible
documents
Instructions for Filing will be REJECTED.
Annual Report for a Limited Liability Company
Section 7-16-66 of the General Laws of Rhode Island, 1956, as amended
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant statutory provision.
This form and the information provided are not substitutes for the advice and services of an attorney and/or tax specialist.
All filings are public records under RIGL 38-2-1, et seq. This means all information is available to the public by a variety
of methods including, without limitations, inspections at our office, telephone inquiries and electronically through our online
database.

How to complete the form: How to pay the filing fee:
1. List the entity’s ID number. The ID number can be found The filing fee is payable either by mail via check made
by looking up your entity in the Corporate Database. payable to RI Department of State or in person via cash,
Please include this number on your check and refer to it credit card, or check at the Business Services Division, 148
in any future correspondence or filings with the Business W. River Street, Ste. 1, Providence, RI 02904. Contact our
Services Division. office at (401) 222-3040 for further information.
2. List the name of the limited liability company. The entity
name can be verified through our Corporate Database. If How to confirm your filing:
the entity name has changed, an amendment, form 401
or form 451, must be filed with this office. Electronic filing Entity records are retrievable and viewable through our
is available. website. Successful filings will NOT result in a mailed
confirmation. Filings that cannot be processed will be posted
3. Enter the six digit NAICS code that describes the primary online and then returned. To confirm your submission and
type of business in which the entity engages. Download obtain evidence of your filing:
our NAICS Code List.
• Go to our Corporate Database.
4. Provide a brief description of the character of business in
• Enter the name or ID number of your entity and click
which the limited liability company is actually engaged in
“Search.”
this state. If the entity is inactive, this section must still be
• Click on the link to your entity record, scroll down,
completed.
select “All Filings” and then “View Filing.”
5. List the state or country of organization. • Identify the desired type of filing and click on “PDF”
6. List the address of the principal office of the limited under “View PDF” to view and print the record.
liability company.
7. List the current mailing address and the name or title of a How to maintain your status:
person to whom communications may be directed.
The entity is responsible for filing an annual report each
8. The limited liability company’s resident agent and calendar year, excluding the year of incorporation, between
resident office is of record in this office and can be February 1 and May 1. A courtesy reminder will be mailed
found on the entity summary screen in our Corporate to the registered agent prior to February 1 of each year. Be
Database. If the resident agent and/or address of the sure to follow up with your registered agent concerning the
resident agent has changed, a Statement of Change of filing of this report. Failure to file an annual report or maintain
Resident Agent/Resident Office (Form 642) must be filed a registered agent/office will result in revocation proceedings.
with this office.
9. An Authorized Person MUST sign and date the form. Every entity registered with the RI Department of State -
Business Services Division will have filing requirements with
the Rhode Island Division of Taxation, even if no business
is conducted within Rhode Island for a particular year. Your
business may require additional licensing. Please visit our
website for further information.

FORM 632 - Revised: 04/2023

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State of Rhode Island
Department of State - Business Services Division
STAMP
Annual Report for the year: FOR
Limited Liability Company SECRETARY OF STATE
USE ONLY
Filing period: February 1 - May 1
Filing Fee: $50.00
Penalty: Additional $25.00 fee if form is not filed by May 31.

1. Entity ID Number 2. Exact name of the Limited Liability Company

3. NAICS Code 4. Brief description of the character of business conducted in Rhode Island

5. State of Formation

6. Principal Office Address City State Zip

7. Mailing Address of Limited Liability Company and Name or Title of Contact Person
Contact Name Contact Title

Street Address City State Zip

8. The Resident Agent information currently of record with the RI Department of State is accurate. Changes require filing Form 642.
9. Under penalty of perjury, I declare and affirm that I have examined this report, including any accompanying schedules and
statements, and that all statements contained herein are true and correct.
Name of Authorized Person Date

Signature of Authorized Person

MAIL TO:
Division of Business Services
148 W. River Street, Providence, Rhode Island 02904-2615
Phone: (401) 222-3040
Website: www.sos.ri.gov

FORM 632 - Revised: 04/2023

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            State of Rhode Island
            Department of State - Business Services Division

The Department of State tracks the number of new business filings on a quarterly and an annual basis. 
We are seeking more information from limited liability companies and hope these three voluntary questions will help us better 
present useful trends and information on the health of our economy:

Entity ID Number                  Name of the Limited Liability Company

1. Does the business owner self-identify as any of the following:

             Woman
             Veteran
             Disabled
        Member of a socially and economically disadvantaged group (i.e., as defined under the US Small Business 
        Administration’s 8(a) Program:  Black, Hispanic, Native American, Asian Pacific or Subcontinent Asian American)

2. How many full-time employees does the business have:

           0
           1-5
           6-50
           51-200
           201-500
          Over 500

3. What are the gross revenues for the business for the past year:

           $0-$50,000
           $51,000-$250,000
           $251,000-$500,000
           $501,000-$1,000,000
           Over $1,000,000

Please note that all records maintained by or kept on file by the Department of State shall be public 
records unless exempt from disclosure in accordance with RIGL 38-2 Access to Public Records.

MAIL TO:
Division of Business Services
148 W. River Street, Providence, Rhode Island 02904-2615
Phone: (401) 222-3040 
Website: www.sos.ri.gov 

                                                                                                      FORM 632 - Revised: 04/2023

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        State of Rhode Island
        Department of State - Business Services Division

Filer Contact Information
        
In the event our office needs more information in order to complete the filing of this document, we ask 
for the filer’s contact information. All fields are REQUIRED.

Name:                                                               Date:

Entity Name:

Street Address:

City:                                                        State: Zip Code:

Email Address:                                                      Phone Number:

If you have any questions, please call us at (401) 222-3040, Monday 
through Friday, between 8:30 a.m. and 4:30 p.m., or email 
corporations@sos.ri.gov.
                                                                         FORM 632 - Revised: 04/2023

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