Mailing Address - Corporation Division, NH Dept. of State, 107 N Main St, Rm 204, Concord, NH 03301-4989
Physical Location - State House Annex, 3rd Floor, Rm 317, 25 Capitol St, Concord, NH
Form FPLLC-1 Instruct
State of New Hampshire
APPLICATION FOR REGISTRATION AS A FOREIGN PROFESSIONAL LIMITED LIABILITY COMPANY
INSTRUCTIONS FOR COMPLETING FORM FPLLC-1 (RSA 304-C:175 OR RSA 304-D:16)
1. The form must be legibly printed or typed on 8.5” x 11” paper and maintain 1” margins. Pencil or erasable ink is not
acceptable.
2. Article First: The EXACT name of the professional limited liability company as registered by the Secretary of State
from the state or country of formation. The name must match exactly as on record including punctuation wherever
it appears on the Form FPLLC-1 application.
3. Article Second: To be completed only in the case where a professional limited liability company designation must
be used. RSA 304-D:6 requires the name of a professional limited liability company shall end in “Professional Limited
Liability Company”, the abbreviation “P.L.L.C. or similar abbreviation. If the name of the professional limited liability
company does not contain any of these designations, list the name of the professional limited liability company with
the word or abbreviation which it elects to add thereto for use in New Hampshire in this article only.
OR
If the limited liability company name is not available for use in New Hampshire, enter the name to be used in New
Hampshire. In this case a trade name application must be filed with an additional $50.00 fee.
4. Principal business information is optional and is not part of article second. The registered agent address will be used
as the principal office address if no principal office address is listed.
5. Articles Third & Fourth: State or country of formation and date formed in that state or country.
6. Article Fifth: Purpose must conform to RSA 304-C:21 and RSA 304-D:1 VI. RSA 304-D:1 VI "Professional
service'' means any service which may lawfully be rendered only by certified public accountants, public accountants,
architects, attorneys, podiatrists, chiropractors, dentists, pharmacists, professional engineers, land surveyors,
registered professional nurses, optometrists, physicians and surgeons, psychologists, veterinarians, and all other
professionals licensed, registered, certified, or otherwise authorized and permitted to practice independently under the
provisions of RSA 309-B, 310-A, 311, 315, 316-A, 317-A, 318, 326-B, 327, 329, 329-B, 330-A, or 332-B.
7. Article Sixth: Per RSA 304-C:177 IV, a registered agent and registered office must be provided. The registered
agent must reside in New Hampshire. The registered agent is the person who would receive service of process
should the corporation be sued. The registered office is the registered agent’s business address where the registered
agent can be found for in-hand service of process. A street/physical address must be provided. Your application
will not be processed without an agent named or if an out of state address is listed.
8. Article Seventh: This statement must be completed.
9. Shall be executed on behalf of the foreign limited liability company by a person with authority to do so under the laws
of the state or other jurisdiction of its formation, or, if the foreign limited liability company is in the hands of a receiver,
executor, or other court appointed fiduciary, trustee, or other fiduciary, it must be signed by that fiduciary.
10. The total filing fee to register is $100.00, payable to the State of New Hampshire.
PLEASE NOTE: The name will be searched for availability upon receipt of these documents. If the filing has been
accepted, you will receive a filed-stamped copy within 30 days. If you do not receive an acknowledgement, please
contact our office. Checks are deposited upon receipt. If the check has been cashed, it only indicates we have received
the document. A cashed check is not an indication that the document has been accepted and filed. Please call the
Corporation Division (603-271-3246) with any questions you may have regarding this application.
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Page 1 of 2
Form FPLLC-1
State of New Hampshire
Filing fee: $100.00 Form FPLLC-1
Use black print or type. RSA 304-C:175
& RSA 304-D
APPLICATION FOR REGISTRATION AS A
FOREIGN PROFESSIONAL LIMITED LIABILITY COMPANY
PURSUANT TO THE PROVISIONS of the New Hampshire Limited Liability Company laws, the
undersigned hereby applies for registration to transact business in New Hampshire and for that purpose
submits the following statement:
FIRST: The name of the professional limited liability company is
.
SECOND: The name which it proposes to register and do business in New Hampshire is
.
Principal Business Information:
Principal Office Address:
(no. & street) (city/town) (state) (zip code)
Principal Mailing Address (if different):
(no. & street) (city/town) (state) (zip code)
Business Phone:
Business Email:
____ Please check if you would prefer to receive the Annual Report Reminder Notice by email.
THIRD: It is formed under the laws of .
FOURTH: The date of its formation is .
FIFTH: Describe the nature of the business or purposes the professional limited liability company will
conduct or promote in New Hampshire (and if known list the NAICS code and Sub Code):
.
SIXTH: The name of the professional limited liability company’s registered agent in New Hampshire is:
.
The complete address of its registered office IN NEW HAMPSHIRE(agent's business address) is:
.
(no. & street) (city/town) (state) (zip code)
EIGHTH: All the members and managers and those of its officers as required by the laws of its state of
formation and by RSA 304-D:12 are licensed in one or more states, territories of the United States or the
District of Columbia to render a professional service described in the statement of purpose of the
professional limited liability company.
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* Shall be executed on behalf of the foreign professional limited liability company by a person with authority to do so
under the laws of the state or other jurisdiction of its formation or, if the foreign limited liability company is in the
hands of a receiver, executor or other court appointed fiduciary, trustee or other fiduciary, it must be signed by that
fiduciary.
DISCLAIMER: All documents filed with the Corporation Division become public records and will be available for
public inspection in either tangible or electronic form.
Mailing Address - Corporation Division, NH Dept. of State, 107 N Main St, Rm 204, Concord, NH 03301-4989
Physical Location - State House Annex, 3rd Floor, Rm 317, 25 Capitol St, Concord, NH
Page 2 of 2
Form FPLLC-1 (9/2015)
APPLICATION FOR REGISTRATION AS A FOREIGN Form FPLLC-1
PROFESSIONAL LIMITED LIABILITY COMPANY (Cont.)
*Signature:
Print or type name:
Title:
Date signed:
Complete address of person signing:
Note: The sale or offer for sale of membership interests of the limited liability company will comply with
the requirements of the New Hampshire Uniform Securities Act (RSA 421-B). The membership interests
of the limited liability company: 1) have been registered or when offered will be registered under RSA
421-B; 2) are exempted or when offered will be exempted under RSA 421-B; 3) are or will be offered in a
transaction exempted from registration under RSA 421-B; 4) are not securities under RSA 421-B; OR 5)
are federal covered securities under RSA 421-B. The statement above shall not by itself constitute a
registration or a notice of exemption from registration of securities within the meaning of sections 448 and
461(i)(3) of the United States Internal Revenue Code and the regulation promulgated thereunder.