LLC Setup Form What do you want the name of your LLC to be? Provide 3 options*Option 2*Option 3*What state would you like to form your LLC in? This should be your home state, where you normally file taxes* AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Name of Registered Agent (contact for notices, etc)* First Last Address within state of formation. This should be a physical address (NO PO BOX)* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Name of Primary Owner* First Last Date of Birth*Social Security Number*Phone*Email* If there are any additional owners, please list them below: Mailing Address (if different from above) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Select services you wish Bell CPA to perform:* LLC Setup & Minute Book ($350 + state filing fees) Engagement Letter Our firm has no responsibility to identify and communicate deficiencies in your internal control as part of this engagement. You are responsible for assuming all management responsibilities and for overseeing any bookkeeping services, tax services, or other services we provide by designating an individual, preferably within senior management, who possesses suitable skill, knowledge, or experience. In addition, you are responsible for evaluating the adequacy and results of the service performed and accepting responsibility for the results of such services. David Bell is the engagement partner and is responsible for supervising the engagement and signing the report or authorizing another individual to sign it. To ensure that Bell CPA LLC’s independence is not impaired under the AICPA code of Professional Conduct, you agree to inform the engagement partner before entering into any substantive employment discussions with any of our personnel. In no event will our firm be liable for incidental or consequential damages even if we have been advised of the possibility of such damages. Our liability to you, whether in tort, contract, or otherwise, is limited to the amount of fees paid to us for our services on this engagement. By acknowledging acceptance of the terms of this engagement, you represent and warrant that you have the authority from the companies to employ Bell CPA, LLC on the terms and conditions set forth herein. Bell CPA LLC is not a law firm, no information provided, or work done should be construed as legal advice. Agreement* By checking this box and entering my digital signature below, I attest that I have read, and agree to the terms of Bell CPA LLC's engagement letter. Digital Signature* First Last