LLC Intake DetailsFirst NameMiddle NameLast NameNew Business NameEmailCompany PurposeKeep it simple and broad, typically 2-3 words(Your office address is not public unless you also use it as your registered agent address, so you can use your home address for an online business)Office Address Address Line 1Address Line 2CityStateZip CodeRegistered Agent Address– Select –My Office AddressIowa Registered Agent ($50/year)OtherThis address is public informationOther AddressAddress Line 1Address Line 2CityStateZip CodePhone Number# of Members/Owners (if known)Full Name(s) of other Members/Owners (if applicable)Other Email(s)If desired, enter the email(s) of anyone else you believe should receive details/updatesBusiness Type (if known)– Select –SeriesSingle MemberPartnershipCorporationNon-ProfitOtherChoose what type of business your new LLC will beIf you selected other, please explain:Does your company hold interest in agriculture? Yes NoSubmit Form
