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  D. o 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.

•    obtainTo a copy, certified               includ  certification fees submission.your with e

                                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-5

Application to Register a Foreign Limited 
Liability Company (LLC) 

Must be submitted with a current Certificate of Good Standing issued by the
government agency where the LLC was formed.  
Filing Fee - $70.00
Certified Copy Fee (Optional) - $5.00
Note: Registered LLCs in California may have to pay minimum $800 tax to the 
California Franchise Tax Board each year. For more information, go to 
https://www.ftb.ca.gov/.
This Space For Office Use Only 
1a. LLC Name (Enter the exact name of the LLC as listed on your attached Certificate of Good Standing.)

1b. California Alternate Name, If Required (Only enter an alternate name if the LLC name in 1a not available in California.) 

2. LLC Jurisdiction (Ensure that the jurisdiction matches the attached Certificate of Good Standing.)
a. Jurisdiction (State, foreign country or place where this LLC is formed.)

b. Authority Statement (Do not alter Authority Statement)
This LLC currently has powers and privileges to conduct business in the state, foreign country or placeentered in Item 2a. 
3. Business Addresses (Enter the complete business addresses. Items 3a and 3b cannot be a P.O. Box or “in care of” an individual or entity.)
a. Street Address of Principal Office - Do not enter a P.O. Box City (no abbreviations) State Zip Code 

b. Street Address of Principal Office in California, if any - Do not enter a P.O. Box City (no abbreviations) State Zip Code 
CA
c. If the Mailing Address is the same as item 3a or 3b, check the applicable box: 3a 3b
d. Mailing Address - if different than item 3a or 3b City (no abbreviations) State Zip Code 

4. Service of Process (Must provide either Individual OR Corporation.) 
INDIVIDUAL – Complete Items 4a and 4b only.  Must include agent’s full name and California street address.
a. California Agent's First Name (if agent is not a corporation) Middle Name Last Name Suffix 

b. Street Address (if agent is not a corporation) - Do not enter a P.O. Box City (no abbreviations) State Zip Code 
CA 
CORPORATION – Complete Item 4c only.  Only include the name of the registered agent Corporation. 
c. California Registered Corporate Agent’s Name (if agent is a corporation) – Do not complete Item 4a or 4b 

5. Read and Sign Below (Title not required.)
By signing, I affirm under penalty of perjury that the information herein is true and correct and that I am authorized to sign 
on behalf of the foreign LLC. 

  __________________________________________________________ _______________________________________________________
Signature Type and Print Name 
LLC-5 11/2023) (REV 20 23California Secretary of State 
Clear Form Print Form bizfileOnline.sos.ca.gov