California LLC Intake Form Is your business in California?(Required) Yes No Contact FormPlease fill out this contact form and a representative will contact you.Full Name(Required) Email(Required) Phone Number(Required)Contact FormPlease fill out your contact information to proceed.Full Name(Required) Email(Required) PhoneAre you a licensed professional? Yes No California does not allow Professional LLCs. If you are licensed in law, accounting, medicine, or health care, you must form a Professional Corporation.Entity Name – First Choice(Required) Your LLC name must be unique in your formation state. We’ll check name availability and use the first name available in the order you provide. We will automatically insert the required “LLC” suffix to the company name.Entity Name – Second Choice LLC Physical Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Your LLC must have a physical street address, which may be a residence address but not a PO Box. You may list a different mailing address including a PO Box or PMB where such addresses are permitted on forms.Is the mailing address the same as the physical address for the LLC?(Required) Yes No Mailing Address Of The LLC(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Registered Agent Services for the first year are included in the package. If you wish to select your own Registered Agent, please check the box Yes, I would like my own registered agent. Please provide the name and address of the registered agent.Name of registered agent Address of registered agent Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How many members are in your company?(Required)At least 1 member. If you have 10+ please call 1 (800) 503-4443 to speak to a specialist. Unfortunately, this form does not support LLC’s with 10 or more members. Please contact us by calling (800) 503-4443 or emailing admin@nwincorp.com for personalized help.Member #1 InformationMember #1: Full Name of Individual Member or Legal Entity Name(Required) Member #1: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific member/entity?(Required) Use the same mailing address of this LLC Use a different mailing address Member #1: Mailing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Member #1: Email(Required) Member #1: SSN or EIN (Tax-ID)(Required) 123-45-6789 (SSN) or 12-3456789 (EIN)Member #1: Percentage (%) Ownership of the LLC being formed(Required)Please enter a number from 1 to 100.If owning 50%, please put 50. If LLC only has a single member, the answer should be 100.Member #1: What is the initial capital contribution from this member?Please enter the amount this member will contribute to the company. If you don’t know, please leave it blank and we’ll enter a nominal default amount.Member #2 InformationMember #2: Full Name of Individual Member or Legal Entity Name(Required) Member #2: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific member/entity?(Required) Use the same mailing address of this LLC Use a different mailing address Member #2: Mailing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Member #2: Email(Required) Member #2: SSN or EIN (Tax-ID)(Required) 123-45-6789 (SSN) or 12-3456789 (EIN)Member #2: Percentage (%) Ownership of the LLC being formed(Required)Please enter a number from 1 to 100.If owning 50%, please put 50. If LLC only has a single member, the answer should be 100.Member #2: What is the initial capital contribution from this member?Please enter the amount this member will contribute to the company. If you don’t know, please leave it blank and we’ll enter a nominal default amount.Member #3 InformationMember #3: Full Name of Individual Member or Legal Entity Name(Required) Member #3: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific member/entity?(Required) Use the same mailing address of this LLC Use a different mailing address Member #3: Mailing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Member #3: Email(Required) Member #3: SSN or EIN (Tax-ID)(Required) 123-45-6789 (SSN) or 12-3456789 (EIN)Member #3: Percentage (%) Ownership of the LLC being formed(Required)Please enter a number from 1 to 100.If owning 50%, please put 50. If LLC only has a single member, the answer should be 100.Member #3: What is the initial capital contribution from this member?Please enter the amount this member will contribute to the company. If you don’t know, please leave it blank and we’ll enter a nominal default amount.Member #4 InformationMember #4: Full Name of Individual Member or Legal Entity Name(Required) Member #4: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific member/entity?(Required) Use the same mailing address of this LLC Use a different mailing address Member #4: Mailing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Member #4: Email(Required) Member #4: SSN or EIN (Tax-ID)(Required) 123-45-6789 (SSN) or 12-3456789 (EIN)Member #4: Percentage (%) Ownership of the LLC being formed(Required)Please enter a number from 1 to 100.If owning 50%, please put 50. If LLC only has a single member, the answer should be 100.Member #4: What is the initial capital contribution from this member?Please enter the amount this member will contribute to the company. If you don’t know, please leave it blank and we’ll enter a nominal default amount.Member #5 InformationMember #5: Full Name of Individual Member or Legal Entity Name(Required) Member #5: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific member/entity?(Required) Use the same mailing address of this LLC Use a different mailing address Member #5: Mailing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Member #5: Email(Required) Member #5: SSN or EIN (Tax-ID)(Required) 123-45-6789 (SSN) or 12-3456789 (EIN)Member #5: Percentage (%) Ownership of the LLC being formed(Required)Please enter a number from 1 to 100.If owning 50%, please put 50. If LLC only has a single member, the answer should be 100.Member #5: What is the initial capital contribution from this member?Please enter the amount this member will contribute to the company. If you don’t know, please leave it blank and we’ll enter a nominal default amount.Member #6 InformationMember #6: Full Name of Individual Member or Legal Entity Name(Required) Member #6: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific member/entity?(Required) Use the same mailing address of this LLC Use a different mailing address Member #6: Mailing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Member #6: Email(Required) Member #6: SSN or EIN (Tax-ID)(Required) 123-45-6789 (SSN) or 12-3456789 (EIN)Member #6: Percentage (%) Ownership of the LLC being formed(Required)Please enter a number from 1 to 100.If owning 50%, please put 50. If LLC only has a single member, the answer should be 100.Member #6: What is the initial capital contribution from this member?Please enter the amount this member will contribute to the company. If you don’t know, please leave it blank and we’ll enter a nominal default amount.Member #7 InformationMember #7: Full Name of Individual Member or Legal Entity Name(Required) Member #7: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific member/entity?(Required) Use the same mailing address of this LLC Use a different mailing address Member #7: Mailing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Member #7: Email(Required) Member #7: SSN or EIN (Tax-ID)(Required) 123-45-6789 (SSN) or 12-3456789 (EIN)Member #7: Percentage (%) Ownership of the LLC being formed(Required)Please enter a number from 1 to 100.If owning 50%, please put 50. If LLC only has a single member, the answer should be 100.Member #7: What is the initial capital contribution from this member?Please enter the amount this member will contribute to the company. If you don’t know, please leave it blank and we’ll enter a nominal default amount.Member #8 InformationMember #8: Full Name of Individual Member or Legal Entity Name(Required) Member #8: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific member/entity?(Required) Use the same mailing address of this LLC Use a different mailing address Member #8: Mailing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Member #8: Email(Required) Member #8: SSN or EIN (Tax-ID)(Required) 123-45-6789 (SSN) or 12-3456789 (EIN)Member #8: Percentage (%) Ownership of the LLC being formed(Required)Please enter a number from 1 to 100.If owning 50%, please put 50. If LLC only has a single member, the answer should be 100.Member #8: What is the initial capital contribution from this member?Please enter the amount this member will contribute to the company. If you don’t know, please leave it blank and we’ll enter a nominal default amount.Member #9 InformationMember #9: Full Name of Individual Member or Legal Entity Name(Required) Member #9: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific member/entity?(Required) Use the same mailing address of this LLC Use a different mailing address Member #9: Mailing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Member #9: Email(Required) Member #9: SSN or EIN (Tax-ID)(Required) 123-45-6789 (SSN) or 12-3456789 (EIN)Member #9: Percentage (%) Ownership of the LLC being formed(Required)Please enter a number from 1 to 100.If owning 50%, please put 50. If LLC only has a single member, the answer should be 100.Member #9: What is the initial capital contribution from this member?Please enter the amount this member will contribute to the company. If you don’t know, please leave it blank and we’ll enter a nominal default amount.Will you be making the S-Corp election? Yes No If you are not sure about this question, please contact us at 1 (800) 503-4443Will the LLC be managed by all of the members or by managers?(Required) Member managed: All of the owners participate in running the business. Manager managed: management is delegated to one person or multiple managers If you are not sure about this question, please contact us at 1 (800) 503-4443How many managers are in your company(Required) 1 2 3 4 5 6 7 8 9 10+ This form does not support receiving more than 10 managers. Please contact us at 1 (800) 503-4443 to speak to a specialist regarding this.Manager #1 InformationManager #1: Full Name(Required) Manager #1: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific manager?(Required) Yes, use the same mailing address. No, use a separate mailing address for this manager. Manager #1: Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Manager #1: Email Address(Required) Manager #1: Social Security Number (SSN)(Required) Example: 123-45-6789Manager #2 InformationManager #2: Full Name(Required) Manager #2: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific manager?(Required) Yes, use the same mailing address. No, use a separate mailing address for this manager. Manager #2: Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Manager #2: Email Address(Required) Manager #2: Social Security Number (SSN)(Required) Example: 123-45-6789Manager #3 InformationManager #3: Full Name(Required) Manager #3: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific manager?(Required) Yes, use the same mailing address. No, use a separate mailing address for this manager. Manager #3: Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Manager #3: Email Address(Required) Manager #3: Social Security Number (SSN)(Required) Example: 123-45-6789Manager #4 InformationManager #4: Full Name(Required) Manager #4: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific manager?(Required) Yes, use the same mailing address. No, use a separate mailing address for this manager. Manager #4: Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Manager #4: Email Address(Required) Manager #4: Social Security Number (SSN)(Required) Example: 123-45-6789Manager #5 InformationManager #5: Full Name(Required) Manager #5: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific manager?(Required) Yes, use the same mailing address. No, use a separate mailing address for this manager. Manager #5: Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Manager #5: Email Address(Required) Manager #5: Social Security Number (SSN)(Required) Example: 123-45-6789Manager #6 InformationManager #6: Full Name(Required) Manager #6: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific manager?(Required) Yes, use the same mailing address. No, use a separate mailing address for this manager. Manager #6: Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Manager #6: Email Address(Required) Manager #6: Social Security Number (SSN)(Required) Example: 123-45-6789Manager #7 InformationManager #7: Full Name(Required) Manager #7: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific manager?(Required) Yes, use the same mailing address. No, use a separate mailing address for this manager. Manager #7: Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Manager #7: Email Address(Required) Manager #7: Social Security Number (SSN)(Required) Example: 123-45-6789Manager #8 InformationManager #8: Full Name(Required) Manager #8: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific manager?(Required) Yes, use the same mailing address. No, use a separate mailing address for this manager. Manager #8: Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Manager #8: Email Address(Required) Manager #8: Social Security Number (SSN)(Required) Example: 123-45-6789Manager #9 InformationManager #9: Full Name(Required) Manager #9: Would you like to use the same mailing address of this LLC being formed or choose a different mailing address for this specific manager?(Required) Yes, use the same mailing address. No, use a separate mailing address for this manager. Manager #9: Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Manager #9: Email Address(Required) Manager #9: Social Security Number (SSN)(Required) Example: 123-45-6789Which member/entity will be the EIN responsible party? Member #1 Which member/entity will be the EIN responsible party? Member #1 Member #2 Which member/entity will be the EIN responsible party? Member #1 Member #2 Member #3 Which member/entity will be the EIN responsible party? Member #1 Member #2 Member #3 Member #4 Which member/entity will be the EIN responsible party? Member #1 Member #2 Member #3 Member #4 Member #5 Which member/entity will be the EIN responsible party? Member #1 Member #2 Member #3 Member #4 Member #5 Member #6 Which member/entity will be the EIN responsible party? Member #1 Member #2 Member #3 Member #4 Member #5 Member #6 Member #7 Which member/entity will be the EIN responsible party? Member #1 Member #2 Member #3 Member #4 Member #5 Member #6 Member #7 Member #8 Which member/entity will be the EIN responsible party? Member #1 Member #2 Member #3 Member #4 Member #5 Member #6 Member #7 Member #8 Member #9 What is the title of this member?(Required) CEO, CFO, CTO, Etc.What is the contact number of this member?(Required)By clicking this checkbox, I authorize Nationwide Incorporators to submit the required forms for the EIN in the name of the responsible party(Required) I authorize Nationwide Incorporators to submit the required forms for the EIN of the responsible party. General Questions Regarding the LLCPlease describe what this LLC will be engaged in(Required)Does the company own a vehicle > 55,000 GVW?(Required) Yes No Gross Vehicle Weight (GVW) — the value specified by the manufacturer as the maximum total loaded weight of a single vehicle.Does the company engage in casino, gambling, or wagering?(Required) Yes No Does the company collect federal excise taxes?(Required) Yes No Does the company sell alcohol, tobacco, or firearms?(Required) Yes No Number of current employees?(Required)Number of employees anticipated in the next 12 months?(Required)First date to pay wages? MM slash DD slash YYYY If you do not have any employees, you can skip this question.Your company's fiscal year end will be Dec. 31(Required) Yes. (Most Common) No, we have a different date for fiscal year end. What is the fiscal year end of this company?(Required) DD/MMWould you like Nationwide to establish your EDD account? (additional $75 fee)(Required) Yes No Your corporate records file will be emailed to you. Would you like a physical binder as well? (additional $150 fee)(Required) Yes No No Manager or Member of this Limited Liability Company has an outstanding final judgment issued by the Division of Labor Standards Enforcement or a court of law, for which no appeal therefrom is pending, for the violation of any wage order or provision of the Labor Code.(Required) Yes No CAPTCHA Δ