Dahle Law Minnesota limited liability company data questionnaire

Your E-Mail Address:

Your Name:

Telephone No.

Address:

ESSENTIAL INFORMATION

Proposed name of the new LLC:
Alternate LLC name if your first choice is not available:
Doing business as:
If the business operates under any name other than its complete LLC name, a certificate
of assumed name must be filed and published. A $25 filing fee will be payable to the
Minnesota Secretary of State, and publication costs will be extra.
Would you like the name the business is being operated under to be registered with:
             A.       The State of Minnesota?     Yes No
                          ($50 filing fee to be paid to the Secretary of State).
             B.       The U.S. Office of Patents and Trademarks? Yes No
                          ($245 filing fee to be paid to the U.S. Patent Office.
                                  Additional name search fees may also be necessary.)
Creating an LLC does not by itself guarantee that the company will have the exclusive right
to use the selected name. Various levels of protection are available by registration of the
business name as a trademark or service mark with the State of Minnesota, the U.S.
Office of Patents and Trademarks, or both.
Address of the registered office of the Company, and the name of its registered agent, (if any),
at that address.
Address:
The registered office of the Company is required information (cannot be a P.O. Box).
Agent:
The name of any registered agent is not required information.
The consideration to be given in exchange for the membership interests, in money, property,
or future services to be rendered to the company, and by whom.
Investor One:
Investor Two:
Note: The initial capitalization of the company, or the amount initially paid to the company
in exchange for membership interests, could be important in the event that an injured
person is damaged by an act of the company and seeks to recover from the company.
Name and address of each organizer (only one organizer is required).
Organizer One:
Organizer Two:
The organizer is the person who signs the Articles of Organization, and whose name will appear
in the public records in association with this company.
If you want Gary C. Dahle - Attorney at Law, to be the organizer, type in his name above.
Person(s) to serve as the first Board of Governors (one or more).
Member One:
Member Two:
Member Three:
The business and affairs of an LLC are generally managed by or under the direction of a Board
of Governors.
Person(s) to serve as the first managers (one or more).
Chief Manager (required):
Treasurer (required):
The Managers execute and implement the decisions made by the Board of Governors.
Please note that in the event that an LLC fails to pay certain "trust" type taxes,such as withholding
and sales taxes, individual governors or managers who have had the responsibility of filing tax
returns and paying taxes on behalf of the company can be held personally liable for such unpaid
taxes.
Corporate managers may also be held personally liable for unpaid state and federal unemployment
taxes under similar circumstances.

INFORMATION WHICH MAY BE PROVIDED AT A LATER TIME

Will the members be entering into a Buy and Sell Agreement?
Yes No
A Buy and Sell Agreement both restricts the persons to whom a member may sell his or her
membership interests, and creates a market for the membership interests should the member desire
to sell his or her membership interests. If a Buy and Sell Agreement is desired, an additional
questionnaire will be provided to you.
Banking institution where funds will be deposited?
Bank Name
Bank Address
Name, address, and phone number of the company’s accountant:
Accountants Name
Accountants Address
Whom would you like to request the company’s federal tax identification number from the I.R.S.?
The company accountant Gary C. Dahle
Highest number of employees expected in the next 12 months?
Estimated first date that wages will be paid?
Note: No federal tax identification number is required for single member LLCs.