OFFICE OF SECRETARY OF STATE 
                                                      CORPORATIONS DIVISION 
                                                      2 Martin Luther King Jr. Dr. SE 
                                                                   Suite 313 West Tower 
                                                                   Atlanta, Georgia 30334 
                                                                            (404) 656-2817 
                                                                           sos.ga.gov 
     Secretary of State 

                                             TRANSMITTAL INFORMATION FORM 
                                             GEORGIA LIMITED LIABILITY COMPANY

                IMPORTANT:  Please provide the entity’s primary email address when                    completing this form. 
Primary Email Address:  

                         NOTICE TO APPLICANT: PRINT PLAINLY OR TYPE REMAINDER OF THIS FORM 

1. 
   LLC Name Reservation Number (If one has been obtained; if articles are being filed without prior reservation, leave this line blank.) 

   LLC Name (List exactly as it appears in articles.) 

2. 
   Name of Person Filing Articles of Organization (Certificate will be emailed to this person at address listed below.) 

   Address                                                                 City                                         State              Zip Code 

   Filer’s Email Address                                                                                                Telephone Number 

3. 
   Principal Office Mailing Address of LLC (Unlike registered office address, this may be a post office box.) 

   City                                                                                          State                              Zip Code 

4. 
   Name of Registered Agent in Georgia 

   Registered Office Street Address in Georgia (Post office box or mail drop not acceptable for registered office address.) 
                                                                                                      GA 
   City                                      County                                               State                             Zip Code 

   Registered Agent’s Email Address 

5. Name and Address of Each Organizer (Attach additional sheets if necessary.)

     Organizer                                Address                                             City                        State        Zip Code 

     Organizer                                Address                                             City                        State        Zip Code 

6. Mail the following items to the Secretary of State at the above address:
     1)    This Transmittal Information Form;
     2)    The Articles of Organization; and
     3)    Filing fee of $100.00 payable to Secretary of State. Filing fees are non-refundable.
   I understand that this Transmittal Information Form is included as part of my filing, and the information on this form will be entered in the 
   Secretary of State business entity database. I certify that the above information is true and correct to the best of my know     ledge. 

Signature of Authorized Person                                                                   Date 

Print name 

                                                                                                                                             FORM 231 
                                                                                                                                             (Rev. 10/2018)