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Massachusetts Foreign Professional LLC Annual Report Form

In the case of a professional limited liability company that is located outside the State of Massachusetts and want to renew its license to conduct business in the state, the following form has to be completed and submitted.

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The Commonwealth of Massachusetts	
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regulating board including the provision of liability insurance required by M.G.L. c.156C ยง 65.
(3c) The limited liability company agrees that each member or manager who will render a service in the Commonwealth is duly 
licensed to provide the service and to abide by and be subject to any conditions or limitations established by any applicable

(5) The business address of its principal office in the Commonwealth, if any :	 
 
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COMMONWEALTH OF MASSACHUSETTS	
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512	
 	 
application is deemed to have been filed with me this ______  having been paid, said 
I hereby certify that upon examination of this foreign limited liability\
 company 
annual report, duly submitted to me, it appears that the provisions of t\
he General 
Laws relative thereto have been complied with, and I hereby approve said\
 
application; and the filing fee in the amount of $	
 	 	 	________________
day of________________ , 20_____ , at_______ a.m./p.m. 	time	
WILLIAM FRANCIS GALVIN	
Secretary of the Commonwealth
Filing fee: $500	
TO BE FILLED IN BY LIMITED LIABILITY COMPANY	
Contact Information:
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