Corporation / LLC Formation Form Type of Entity: Select... LLC Corporation (S-Corp or C-Corp) Non-Profit Partnership Effective Date: Proposed Company Name: Principal Business Address: Phone: Email: Principal Line of Business: Mailing Address (if different): Owner / Officer #1 Full Name: Title / Position: Social Security Number (SS#): Residential Address: + Add Another Owner Additional Comments / Notes: 📨 Submit Form ✅ Thank you! Your form has been sent successfully.