Louisiana Corporation Initial Report Form

In order to register the basic information related to a new corporation in the State of Louisiana, the following form has to be completed and submitted along with a $25 filing fee.

Extracted Text for Proper Search

TRANSMITTAL INFORMATION
For All Business Filings	
Business Name (List  exactly  as it appears in documents)
Name of person filing document (evidence of filing will be mailed to this person, at address below)
Daytime phone numberAddress
CityState
Zip Code
NOTE:  Louisiana Law requires all Louisiana notaries to print or type their name and notary or   
  bar roll number on the document.	
Commercial Division    
(225) 925-4704  
  
Fax Numbers 
(225) 932-5317 Administrative Services 
(225) 932-5314 Corporations 
(225) 932-5318 UCC 
             	
STATE OF	 L	OUISIANA	  
S	
ECRETARY OF	 S	TATE	   TOM SCHEDLER 
SECRETARY OF STATE	
Mailing Address:  P. O. Box 94125, Baton Rouge, LA * 70804-9125      
Office Location: 8585 Archives Ave.,  Baton Rouge, LA * 70809         
Web Site Address:   www.sos.la.gov	
 SS984  Rev. 09/11	
Fax number Email address

Tom Schedler 
Secretary of State	   CORPORATION/LIMITED LIABILITY COMPANY SUPPLEMENTAL
     INITIAL REPORT	
(R.S. 12:25 & R.S. 12:1305)	
        Enclose $25.00 filing fee  Return to: Commercial Division
     Make remittance payable to P. O. Box 94125
Secretary of State Baton Rouge, LA 70804-9125
Do Not Send Cash
Phone (225) 925-4704
Web Site: www.sos.la.gov	
1.   The name of this company is: 
_____________________________________________________________
2.   The names and municipal addresses (not a P.O. Box only) of the first directors (corporation) or
       managers or members (limited liability company) are:
Name
Address
Name
Address
Name
Address
Name
Address
Corporations: To be signed by incorporator(s) or shareholder(s):
LLC:
To be signed by each person who signed the Articles of Organization:
Date	
SS366 Rev. 09/11(see instructions on back)

INSTRUCTIONS
    Corporations	
1. If a corporation’s first directors are not named in the Initial Report, a Supplemental 
Report must be filed after they are selected.  The Supplemental  Report shall set forth 
the name and address of each director, and shall be signed by each incorporator, or by
any shareholder.
2. A copy of the Supplemental Report certified by the Secretary of State, shall be filed
for record in the office of the recorder of mortgages of the parish in which the 
registered office of the corporation is located.	
      Limited Liability Company	
1.If a limited liability company’s initial managers or members are not named in the 
Initial Report, a Supplemental Report must be filed after they are selected.  The 
Supplemental Report shall set forth the name and address of each manager or 
member.
2.The Supplemental Report shall be signed by each person who signed the Articles 
of Organization.