Secretary of State 
                                                                    Business Programs Division 
                                                                               Business Entities 
                                                          1500 11th Street, Sacramento, CA 95814 
                                                     P.O. Box 944260, Sacramento, CA 94244-2600 

              Business Entities Submission Cover Sheet

        For faste stservice, file online at               bizfileOnline.sos.ca.gov. 

Instructions: 

• Complete and include this form with your paper submission. This form will not be made part of
  the filed document.

• Make all checks or money orders payable to the Secretary of State.

• In-person submissions (excluding Statements of Information): $15  special handling fee  . Do not
  include   a $15 special handling fee when submitting documents by mail.

• All submissions are reviewed in the date order of receipt , with online submissions given priority.
  For updated processing time information, visit www.sos.ca.gov/business/be/processing-dates.

• To obtain a certified copy,  includ ecertification fees with your submission.

        Note: All correspondence related to your submission will be 
        sent to the name and address on your check or money order.

Contact Person    (Please type or print legibly): 

First Name:                                  Last Name: 

Phone Number:                               Email:

Entity Information (Please type or print legibly): 

Entity Name:  

Entity Number (if applicable): 

Comments: 

                                                                    Clear Form Print Form
Submission Cover Sheet (REV 03/2024) 

               Secretary of State                                          LLC-4/8

               Short Form Cancellation Certificate 
               Limited Liability Company (LLC) 
               ONLY California LLC Formed in California in 
               the Last 12 Months 

There is No Fee for filing a Short Form Cancellation Certificate 

Certification Fee (Optional)  –$5.00 

                                                                                                This Space For Office Use Only 
1. Limited Liability Company Name (Enter the exact name of the LLC as it is recorded with the California Secretary of State)

2. LLC Entity (File) Number        (Enter the exact 12-digit Entity (File) Number issued by the California Secretary of State.)

3. Required Statements (Do not alter the Required Statements – ALL must be true to file Form LLC-4/8)
Statements 3(a) – 3(g) are true: 
   (a) This Short Form Certificate of Cancellation is being filed within twelve (12) months from the date the Articles of
       Organization were filed with the California Secretary of State;
   (b) The LLC does not have any debts or other liabilities, except as provided in Item 3(c);
   (c) All final tax returns required under the California Revenue and Taxation Code have been or will be filed with the
       California Franchise Tax Board;
   (d) The known assets of the LLC remaining after payment of, or adequately providing for, known debts and
       liabilities have been distributed or the LLC has acquired no known assets;
   (e) The LLC has not conducted any business from the time of the filing of the Articles of Organization;
   (f) 50 percent or more of the voting interests of the managers or members voted, or, if no managers or members,
       the person or 50 percent or more of the persons signing the Articles of Organization, voted to dissolve the LLC;
       and
   (g) Payments received by the LLC for interests from investors, if any, have been returned to those investors.
Note:  If the LLC cannot say all of these items are true, the LLC cannot file this Short Form Cancellation Certificate 
(Form LLC-4/8) and must follow the normal cancellation process.  See Certificate of Cancellation (  Form LLC-4/7  ), and 
if applicable, Certificate of Dissolution (Form LLC-3). 
4. Cancellation Statement (Do not alter Cancellation Statement)
Upon the effective date of this Short Form Cancellation Certificate, except as provided in California Corporations Code 
Section17707.06,the Limited Liability Company’s registration is cancelled and its powers, rights ,                      and privileges will cease 
in California. 
5. Read and Sign Below (Do not use a computer generated signature.)
By signing, I affirm under penalty of perjury that the information herein is true and correct and that I am authorized by 
California law to sign. 

 ________________________________________________________________                         _______________________________________________ 
   Signature                                                                             Type or Print Name 

 ________________________________________________________________                         _______________________________________________ 
    Signature                                                                       Type or Print Name 
LLC-4/8 Instructions (REV 12/2022)            Clear Form     Print Form                                                 2022 California Secretary of State 
                                                                                                                               bizfileOnline.sos.ca.gov