Maryland Department of Assessments and Taxation  
                                                             Charter Division  
                           LIMITED LIABILITY COMPANY REGISTRATION  
                                       (For non-Maryland Limited Liability  Company)  
                                                             (Filing fee $100)   
   This document must be accompanied by                   written proof   of existence from the home state, equivalent     to a 
                          Certificate of Good Standing and issued within the last                60 days. 

  If this a Reregistration             check here:        [  ] 
The SDAT   ID Number       is:_____________________________ 

1) Full legal name in home jurisdiction:  _____________________________________________ 

_____________________________________________________________________________ 

2) Name it will use in Maryland if different from above: ________________________________ 

______________________________________________________________________________  
(Must include “Limited    Liability    Company”   or “LLC”) 

3) State of Formation: __________________________________________________________ 

4) Date of Formation: ___________________________________________________________ 

5) Principal  Office Address: ______________________________________________________ 

_____________________________________________________________________________ 

6) Nature of Business in Maryland: ________________________________________________ 

_____________________________________________________________________________ 

_____________________________________________________________________________ 

7) Is this entity registered in its State of  Formation as a Series LLC? 
        Yes       [  ]  No        [  ] 
8) Name and Address (No P.O. Boxes) of Resident Agent for Service of Process in Maryland: 

_____________________________________________________________________________ 
  If no Resident Agent    is named   or if the       agent   cannot   be found   or served, this Department   is appointed   as Resident 
Agent   of this Limited   Liability Company          for  no additional   fee.  

9) Has this Limited Liability Company done business in Maryland prior to this  registration? 
        Yes        [  ]         No [] (Circle one.   If yes, payment   of $200 penalty must  accompany this      registration) 

10) ___________________________________ (Signature of Authorized Person) 

11) I hereby consent to my designation in this document as  resident agent for this LLC 

______________________________________ (Signature of Resident  Agent) 

Limited Liability Company Registration                                                              Revised January 2023   Page 1