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

                                                   Submission Cover Sheet

For faster service, file online at bizfileOnline.sos.ca.gov               . 

Instructions: 

• Complete and include this form with your paper submission. This information only will be
  used to communicate in writing about the submission, if needed. This form will be
  treated as correspondence and 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 handling fee; do not include
  a $15 handling fee when submitting documents by mail.

• Standard processing time for submissions to this office is approximately 5 business days from
  receipt. 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.

Optional Copy and Certification Fees: 

• If applicable, include optional certification fees with your submission.

• For applicable certification fee information, refer to the instructions of the specific form you are
  submitting.

Contact Person: (Please type or print legibly) 

First Name:                                     Last Name: 

Phone (optional):  

Entity Information: (Please type or print legibly) 

Name:  

Entity Number (if applicable):  

Address: 

Comments

Submission Cover Sheet (REV 03/2022)                            Clear Form  Print Form

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 Executive 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. Mailing Address of Principal Executive Office, if different than item 3a 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 or Print Name
LLC-5 0 (REV /2023)6  20 23California Secretary of State 
Clear Form Print Form bizfileOnline.sos.ca.gov