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N OF (Name of Foreign Limited Liability Company) Under Section 802 of the Limited Liability Company Law The undersigned is the (Check appropriate box) Member Manager Authorized Person of (Name of Foreign Limited Liability Company) If the name of the foreign limited liability company has changed, the name under which it was authorized is: If applicable, the fictitious name the foreign limited liability company has agreed to use in this state is: The application for authority was filed by.

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