New York State

Department of State
DIVISION OF CORPORATIONS,
STATE RECORDS AND
UNIFORM COMMERCIAL CODE
One Commerce Plaza
99 Washington Ave.
Albany, NY 12231-0001
https://dos.ny.gov

DOCUMENT AND CERTIFICATE COVER SHEET

Contact Information
Name: ______________________________________________________________________________

Mailing Address:_______________________________________________________________________

_____________________________________________________________________________

Email Address: ______________________________________________________________________

Phone Number: ______________________________________________________________________

Request for Filing of Document

Exact Name of Entity: __________________________________________________________

____________________________________________________________

Document Type:_______________________________________________________________
(i.e., Certificate of Incorporation, Articles of Organization, Certificate of Amendment, etc.):

Request for Copies or Certificates of Status (Check the appropriate box)

Exact Name of Entity: __________________________________________________________

□ Certified Copies of all Documents on File ($10 per document)

□ Plain Copies of all Documents on File ($5 per document)
□Certified Copy of _____________________________________________________ ($10 per document)
(specify document)

□ Plain Copy of ________________________________________________________ ($5 per document)

(specify document)

□ Certificate of Status - Long Form ($25 per document)

□ Certificate of Status - Short Form ($25 per document)
Method of Delivery of Filing Receipt or Other Document
All documents will be returned to the email address listed above with the exception of certified and
uncertified copies filed before July 1990.

DOS-2183-f (04/22)
 New York State
Department of State
DIVISION OF CORPORATIONS,
STATE RECORDS AND
UNIFORM COMMERCIAL CODE
One Commerce Plaza
99 Washington Ave.
Albany, NY 12231-0001
https://dos.ny.gov

(This form must be printed or typed in black ink)

ARTICLES OF ORGANIZATION
OF

(Insert name of Limited Liability Company)

Under Section 203 of the Limited Liability Company Law

FIRST: The name of the limited liability company is:

SECOND: The county within this state in which the office of the limited liability company is to be
located is: .

THIRD: The Secretary of State is designated as agent of the limited liability company upon whom
process against the limited liability company may be served.
The post office address to which the Secretary of State shall mail a copy of any process against the
limited liability company served upon the Secretary of State by personal delivery is:

(Optional) The email address to which the Secretary of State shall email a notice of the fact that
process against the limited liability company has been served electronically upon the Secretary of
State is:

X
(Signature of Organizer) (Print or Type Name of Organizer)

DOS-1336-f (Rev. 12/22) Page 1 of 2

 ARTICLES OF ORGANIZATION
OF

(Insert name of Limited Liability Company)

Under Section 203 of the Limited Liability Company Law

Filer’s Name and Mailing Address:

Name:

Company, if Applicable:

Mailing Address:

City, State and Zip Code:

NOTES:
1. This form was prepared by the New York State Department of State for filing articles of organization for a domestic
limited liability company. It does not contain all optional provisions under the law. You are not required to use this
form. You may draft your own form or use forms available at legal stationery stores.
2. The Department of State recommends that legal documents be prepared under the guidance of an attorney.
3. The Limited Liability Company Law requires that the name end with “Limited Liability Company,” “LLC” or “L.L.C.”
The name of the limited liability company must be uniformly stated throughout this certificate.
4. The filer may not be the limited liability company being formed.
5. The certificate must be submitted with a $200 filing fee made payable to the Department of State. Preferred payment
methods include money order, Visa or Mastercard.

(For Office Use Only)

DOS-1336-f (Rev. 12/22) Page 2 of 2