Secretary of State
`Statement of Information
`(Limited Liability Company)
`
`LLC-12
`
`IMPORTANT — Read instructions before completing this form.
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`Filing Fee – $20.00
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`Copy Fees – First page $1.00; each attachment page $0.50;
`Certification Fee - $5.00 plus copy fees
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`This Space For Office Use Only
`1. Limited Liability Company Name (Enter the exact name of the LLC. If you registered in California using an alternate name, see instructions.)
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`2. 12-Digit Secretary of State File Number
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`3. State, Foreign Country or Place of Organization (only if formed outside of California)
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`State
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`Zip Code
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`4. Business Addresses
`a. Street Address of Principal Office - Do not list a P.O. Box
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`b. Mailing Address of LLC, if different than item 4a
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`City (no abbreviations)
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`City (no abbreviations)
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`c. Street Address of California Office, if Item 4a is not in California - Do not list a P.O. Box
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`City (no abbreviations)
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`5. Manager(s) or Member(s)
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` CA
`If no managers have been appointed or elected, provide the name and address of each member. At least one name and address
`must be listed. If the manager/member is an individual, complete Items 5a and 5c (leave Item 5b blank). If the manager/member is
`an entity, complete Items 5b and 5c (leave Item 5a blank). Note: The LLC cannot serve as its own manager or member. If the LLC
`has additional managers/members, enter the name(s) and addresses on Form LLC-12A (see instructions).
`a. First Name, if an individual - Do not complete Item 5b
`Middle Name
`Last Name
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`State
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`State
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`Zip Code
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`Zip Code
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`Suffix
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`b. Entity Name - Do not complete Item 5a
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`c. Address
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`City (no abbreviations)
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`State
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`Zip Code
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`6. Service of Process (Must provide either Individual OR Corporation.)
`INDIVIDUAL – Complete Items 6a and 6b only. Must include agent’s full name and California street address.
`a. California Agent's First Name (if agent is not a corporation)
`Middle Name
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`b. Street Address (if agent is not a corporation) - Do not enter a P.O. Box
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`City (no abbreviations)
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`CORPORATION – Complete Item 6c only. Only include the name of the registered agent Corporation.
`c. California Registered Corporate Agent’s Name (if agent is a corporation) – Do not complete Item 6a or 6b
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`Last Name
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`Suffix
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`Zip Code
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`State
`CA
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`7. Type of Business
`a. Describe the type of business or services of the Limited Liability Company
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`8. Chief Executive Officer, if elected or appointed
`a. First Name
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`Middle Name
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`Last Name
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`Suffix
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`b. Address
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`City (no abbreviations)
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`State
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`Zip Code
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`9. The Information contained herein, including any attachments, is true and correct.
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` __________________________________
`_________________________
` ____________________________________________________________
` _____________________
`Type or Print Name of Person Completing the Form
`Signature
`Title
`Date
`Return Address (Optional) (For communication from the Secretary of State related to this document, or if purchasing a copy of the filed document enter the name of a
`person or company and the mailing address. This information will become public when filed. SEE INSTRUCTIONS BEFORE COMPLETING.)
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`
`
`Name:
`Company:
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`Address:
`City/State/Zip:
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`
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`
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`LLC-12 (REV 01/2017)
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`
`
`
`2017 California Secretary of State
`
`www.sos.ca.gov/business/be
`
`
`20-A26035
`
`FILED
`
`In the office of the Secretary of State
` of the State of California
`
`JAN 16, 2020
`
`THOMPSON CAPITAL HOLDINGS LLC
`
`201933610282
`
`CALIFORNIA
`
`90266
`
`CA
`
`90266
`
`90266
`
`CA
`
`112 W 23rd Street
`
`Manhattan Beach
`
`112 W 23rd Street
`
`Manhattan Beach
`
`112 W 23rd Street
`
`Manhattan Beach
`
`112 W 23rd Street
`
`Manhattan Beach
`
`90266
`
`LEGALZOOM.COM, INC. (C2967349)
`
`CA
`
`Healey
`
`Miles
`
`Investments
`
`01/16/2020
`
`Miles Healey
`
`Managing Member
`
`Page 1 of 1
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