Delaware Division of Corporations 
                         401 Federal Street – Suite 4 
                                   Dover, DE 19901 
                                   Ph: 302-739-3073 
                          
                                                         Certificate of Registration 
                                         of Foreign Limited Liability Company 
                                                                   
Dear Sir or Madam:  
 
       Enclosed please find a form for a Certificate of Registration of a Foreign Limited 
Liability Company to be filed in accordance with Section 18-902 of the Limited Liability 
Company Act of the State of Delaware. A Certificate of Existence, dated within six months 
prior to the filing of the Registration Certificate, from the foreign limited liability company’s 
jurisdiction of formation must be submitted with the Registration Certificate.  The fee to file 
the Registration Certificate is $200.  You will receive a stamped “Filed” copy of the 
submitted document. A certified copy may be requested for an additional $50. Expedited 
services are available. Please contact our office concerning these fees or you may consult our 
fee chart at www.corp.delaware.gov.  Please make the check payable to “Delaware Secretary 
of State”.  
         
       Annual Taxes in the amount of $300 for the foreign limited liability company are 
due by the first day of June following the close of the calendar year in which the 
registration is filed.  Please contact the Franchise Tax Section with any questions regarding 
Annual Taxes.  
 
       For the convenience of processing your order in a timely manner, please include a 
cover letter with your name, address and telephone/fax number to enable us to contact 
you if necessary. Please make sure you thoroughly complete all information requested on 
this form. It is important that the execution be legible, we request that you print or type 
the name of the person signing under the signature line. 
 
       Thank you for choosing Delaware as your corporate home. Should you require 
further assistance in this or any other matter, please don’t hesitate to call us at (302) 739-
3073.  
 
                                         Sincerely,  
 
                                         Department of State  
                                         Division of Corporations 
 encl. 
 rev. 10/16 

Special Instructions – Certificate of Registration of a Foreign 
Limited Liability Company 
 
This form is to be used as a Template only. The following instructions will 
help you in correctly completing your Registration Certificate.  The 
instructions are numbered to correspond with the article being referenced. 
 
 1.  The name under which the foreign limited liability company is 
    registering in Delaware.  If different than the name under which they 
    are registered in their jurisdiction of formation, list that name in the 
    statement in parenthesis.  Please visit our website to verify name 
    availability. 
 2.  The jurisdiction of formation and the date when the foreign  
    limited liability company was originally formed. 
 3. The specific purpose of the foreign limited liability company must be 
    listed; a general purpose statement is not sufficient. 
 4. List the complete name and street address of the registered agent 
    located in Delaware you are appointing to accept service of process 
    for the foreign limited liability company. 
 5. List the date the foreign limited liability company first did business in 
    Delaware or the date when it intends to do business in Delaware. 
 Execution Block - The document must be signed by an authorized person 
    of the foreign limited liability company pursuant to Section 18-902 of 
    Title 6, Chapter 18.  The name of the person must be typed or written 
    legibly underneath the signature. 
  
 PLEASE NOTE:  The completed registration certificate must be 
    accompanied by a      Certificate of Existence, dated within 6 months 
    prior to the filing of this certificate, from the foreign limited liability 
    company’s jurisdiction of formation.  If such certificate is in a foreign 
    language an English translation must be attached. 
  
This form contains the basic information required by statute; if you need to 
add additional information permitted by statute you may draft a new 
document.  Please feel free to call our office at 302-739-3073 for assistance 
in completing this form. 
 
Sincerely, 
Delaware Division of Corporations 

   STATE OF DELAWARE 
   CERTIFICATE OF REGISTRATION 
    OF A FOREIGN LIMITED LIABILITY COMPANY 
 
The foreign limited liability company hereby certifies as follows: 
 
1. The name under which the foreign limited liability company is registering in the 
State of Delaware is _______________________________________________________ 
_______________________________________________________________________. 
   (If different, the name under which they are registered in their foreign jurisdiction 
_______________________________________________________________________) 
 
2. The foreign limited liability company was formed under the laws of                    
_______________________________ on _____________________________________.                                                                       
As of the date of this filing; the foreign limited liability company validly exists as a 
limited liability company under the laws of the jurisdiction of its formation.  
 
3. The nature of the business or purposes to be conducted or promoted by the foreign 
limited liability company in the State of Delaware is as follows: ____________________ 
________________________________________________________________________ 
_______________________________________________________________________. 
 
4. The Registered Office of the foreign limited liability company in the State of 
Delaware is located at________________________________________________(street), 
in the City of  _____________________________, Zip Code_________________.  The 
name of the Registered Agent at such address upon whom process against this foreign 
limited liability company may be served is _____________________________________ 
_______________________________________________________________________. 
 
5. The date on which the foreign limited liability company first did or intends to do 
business in the State of Delaware is ___________________________________. 
 
6. The Secretary of State of the State of Delaware is appointed the agent of the 
foreign limited liability company for service of process under the circumstances set forth 
in Title 6, Section 18-910(b) of the Delaware Code. 
 
         By: ___________________________________ 
            Authorized Person(s) 
    
     Name: ___________________________________ 
                                                    Print or Type