LLC Questionnaire - Vinh Doan Law Office - Trusts, Estates, Tax, and Legal Services

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CALIFORNIA LIMITED LIABILITY COMPANY QUESTIONNAIRE

A. General Company Information

1. Company Names *

Pick 3 Names - Put in order of Preference

2. Mailing Address *

City *

State *

Zip *

County *

3. Is Address Principle Executive Office the same as above? *

YesNo

Address *

City *

State *

Zip *

County *

4. Email Address: *

5. Business Phone Number: *

Business Fax Number:

6. Principle Business Activity: *

If manufacturing, then state:

Principle product:

Raw material used:

7. To whom will most of the company's products or services be sold: *

8. Date business will start activities: *

9. First date wages or annuities will be paid:

10. Number of employees expected in the next twelve months:

Agriculture: *

Household: *

Other: *

11. Closing month of accounting year: *

12. Is Name of Organizer same as above? *

YesNo

Name: *

13. Will the LLC be a single member LLC or will it consist of two or more members? *

Will the LLC be Member Managed (managed by all members) or Manager Managed (managed by one manager)? *

Names and business or residence addresses of all Members:

Name *

Address *

Manager? *

14. Will the LLC operate as a partnership (for tax purposes) or as a corporation? *

15. Did the LLC operate as a previous entity (i.e. a Sole Proprietorship, partnership or a corporation prior to organizing as an LLC)? *

YesNo

If the LLC was a conversion, what type of entity was it? *

16. Is Name of initial agent for service of process in California same as above? *

YesNo

Name *

Address *

17. To obtain an Federal Employer Identification Number (FEIN), please list the name and title of the Member or Manager of the LLC and his/her Social Security Number. If the acting Manager is a corporation, please list the corporation's FEIN instead.

Name/Company Name *

Title *

Social Security/FEIN *

B. LLC Operating Agreement

18. If you intend to have officers of the LLC, please list the names and business or residence addresses of each officer: *

May be one person for all three positions

Name of President same as above? *

YesNo

Name *

Address *

Annual Salary

Name of Chief Financial Officer same as above? *

YesNo

Name *

Address *

Annual Salary

Name of Secretary same as above? *

YesNo

Name *

Address *

Annual Salary

19. Name of Agent for Service of Process same as above? *

YesNo

Name *

Address *

C. Membership Interest

20. Do you plan on issuing evidence of membership interest in the LLC (i.e. membership certificates)? *

YesNo

What consideration will be paid for the membership interest in the LLC? *

Amount: *

D. Foreign Qualifications

21. Do you have states other than California in which the LLC will have employees or in which the LLC will have an office? *

YesNo

List States:

State *

Address of Office *

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