"Amendment or Correction to Domestic Limited Liability Company Biennial Report" - Nebraska

Amendment or Correction to Domestic Limited Liability Company Biennial Report is a legal document that was released by the Nebraska Secretary of State - a government authority operating within Nebraska.

Form Details:

  • Released on January 5, 2021;
  • The latest edition currently provided by the Nebraska Secretary of State;
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  • Fill out the form in our online filing application.

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Amendment or Correction to
Domestic Limited Liability Company
Biennial Report
Robert B. Evnen, Secretary of State
P O. Box 94608
Lincoln, NE 68509
(402) 471-4079
www.sos.nebraska.gov
1)
Exact Name of Limited Liability Company
:
2)
Year(s) of Biennial Report to be amended or corrected:
-
3)
Amended or Corrected Street Address of the Principal Office:
Street Address
City
State
Zip
4)
Protected Series of the Series Limited Liability Company to be added to the affected Biennial Report (Attach
explanation as to the reason for additional Protected Series. See instruction sheet for additional fee information):
5)
Protected Series of the Series Limited Liability Company to be removed from the affected Biennial Report
(Attach explanation as to the reason for removal of Protected Series. If refund is due, contact Secretary of State
for refund form):
6)
Complete list of the Protected Series of the Series Limited Liability Company required by §21-514:
Signature
Printed Name
Title
Date
FILING FEES: $10.00
Make check payable to: Secretary of State
Revised 01/05/2021
Neb. Rev. Stat. § 21-125
Page 1
Amendment or Correction to
Domestic Limited Liability Company
Biennial Report
Robert B. Evnen, Secretary of State
P O. Box 94608
Lincoln, NE 68509
(402) 471-4079
www.sos.nebraska.gov
1)
Exact Name of Limited Liability Company
:
2)
Year(s) of Biennial Report to be amended or corrected:
-
3)
Amended or Corrected Street Address of the Principal Office:
Street Address
City
State
Zip
4)
Protected Series of the Series Limited Liability Company to be added to the affected Biennial Report (Attach
explanation as to the reason for additional Protected Series. See instruction sheet for additional fee information):
5)
Protected Series of the Series Limited Liability Company to be removed from the affected Biennial Report
(Attach explanation as to the reason for removal of Protected Series. If refund is due, contact Secretary of State
for refund form):
6)
Complete list of the Protected Series of the Series Limited Liability Company required by §21-514:
Signature
Printed Name
Title
Date
FILING FEES: $10.00
Make check payable to: Secretary of State
Revised 01/05/2021
Neb. Rev. Stat. § 21-125
Page 1
INSTRUCTIONS FOR COMPLETING
DOMESTIC LIMITED LIABILITY COMPANY
AMENDMENT OR CORRECTION TO BIENNIAL REPORT
1. Exact Name of Limited Liability Company: The name of the Series Limited Liability
Company as stated in the certificate of organization or most recent amendment.
2. Year(s) of Biennial Report to be amended or corrected: Biennial Reporting period to be
amended. A separate form and fee must be submitted for each Biennial Report to be
amended or corrected.
3. Principal Office address: Provide complete street address of the address where the records are kept
for this entity.
4. Protected Series of the Series Limited Liability Company to be added to the affected Biennial
Report: Provide the names of any Protected Series that were not included on the Biennial Report
that should have been. Be sure to attach an explanation as to the reason for the additional Protected
Series being listed. Attach additional pages as needed. Please note, there is an additional $10 fee for
each of the Protected Series being added.
5. Protected Series of the Series Limited Liability Company to be removed from the affected Biennial
Report: Provide the names of any Protected Series that were listed on the Biennial Report in error.
Be sure to attach an explanation as to the reason for the removed Protected Series listed. Attached
additional pages as needed. If refund is due, please contact the Secretary of State’s Office for
refund form.
6. Complete list of the Protected Series of the Series Limited Liability Company required by §21-514:
Provide the complete list of all of the Protected Series that should have been included on the
Biennial Report. This should include any that were added in section 4, and exclude any that you
removed in section 5 of this amendment. Attach additional pages as needed.
The following information on the biennial report cannot be amended or corrected on this form, but may be
modified by filing the designated form below:
Registered Agent and/or Registered Office: You must file the Statement of Change of Designated
Office, Registered Agent and/or Registered Agent’s Address form found on our website at
www.sos.nebraska.gov. This form may be uploaded and filed online using the Corporate Document
eDelivery.
Street address of the Designated Office: You must file the Statement of Change of Designated
Office, Registered Agent and/or Registered Agent’s Address form found on our website at
www.sos.nebraska.gov. This form may be uploaded and filed online using the Corporate
Document eDelivery.
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