LLC/Corporation Formation Questionnaire
Please complete the form below. Once you submit your questionnaire, a Biz Specialist will contact you to set up your assessment call! If you have any questions about the questionnaire, please contact us at 323-744-8571 or email info@coffeyandbiz.com
Full Name
*
First Name
Middle Name
Last Name
What state are you forming your business in?
*
Desired Business Name
*
Entity will be at the end of the business name, per the state law.
If your desired name is not available, please provide any alternative names you would like to try.
What is the physical address for the LLC/Corporation? (Must be a physical address)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
If different from the physical address, please provide a mailing address for the LLC/Corporation? (This can be a P.O. Box)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What County will the LLC/Corporation be located in? (Based on the above listed address)
*
Please type N/A if you do not have this information.
Phone Number
*
-
Area Code
Phone Number
E-mail
*
What is the purpose of your business?
You may include a brief list of services, or your mission.
What is the end of your fiscal year?
December 31 is what most people choose
How much capital will you put in to start your business?
This can be a projected amount.
Please list the names and addresses of each member (owner) of the LLC
*
Members are owners of the LLC. There must be at least one member listed. Please provide the name(s). If this LLC will be owned by one member, we will send you information on various tax elections that you may want to look into.
ONLY FOR CORPORATION FORMATION: Please list the name(s) of shareholders your Corporation will have. (Use this box if you are converting from an LLC to a Corporation)
A shareholder, commonly referred to as a stockholder, is any person, company, or institution that owns at least one share of a company's stock.
How many shares of authorized stock are you establishing?
Typically, start-ups authorize 10,000,000 shares. This is totally up to you!
Registered Agent
A registered agent is someone whom you designate to receive official papers for your business. These would include documents related to lawsuits, and also important communications from the state such as renewal notices for business registrations. Often, laws or official instructions relating to registered agents refer to their receiving “service of process,” which is a way of saying that registered agents are designated to receive papers relating to lawsuits. This person must live in your state. It can be yourself or any other third-party that you designate.
Who is your designated Registered Agent? (It can be yourself or any other third-party) *LEAVE BLANK IF FILING IN WYOMING
First Name
Last Name
Registered Agent Address (Must be in the state that you are forming the business)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit Form
Should be Empty: