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                           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 of  a Certificate of Good Standing  no more than 60 days old at the time of filing. 

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 inMaryland: 

     If no Resident Agent in Maryland is named or if the Agent cannot be found or served,  this  
     Department is appointed as Resident Agent of             this Limited Liability Company. 

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

10.  (Signed: Authorized Person) 

     I hereby consent to my designation in this document as resident agent for this          Limited Liability 
     Company. 

1 .1 (Signed: Resident Agent) 
Revised: October2020    

Foreign Limited Liability Company Registration Form                                                  Page 1






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