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 $110.00 ($100 filing fee + $10 paper filing service charge) 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* 

   * Enter individual’s legal name, i.e. first and last name without use of initials or nicknames. Middle names or initials may be included. 
                                                                                                                                                FORM CD 231 
                                                                                                                                                  (Rev. 10/2019)