https://dos.ny.gov
DOCUMENT AND CERTIFICATE COVER SHEET
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
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)
DOS-1374-f (Rev. 12/22)
Page 1 of 3
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
ARTICLES OF ORGANIZATION
OF
(Insert Name of Professional Service Limited Liability Company)
Under Section 1203 of the Limited Liability Company Law
FIRST: The name of the professional service limited liability company is:
.
SECOND: The professional service limited liability company shall practice the profession(s) of:
.
THIRD: The county within this state in which the office of the professional service limited liability
company is to be located is: .
FOURTH: The Secretary of State is designated as agent of the professional service limited liability
company upon whom process against the professional service 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 professional service 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 professional service limited liability company has been served electronically
upon the Secretary of State is:
FIFTH: The names and residence addresses of all individuals who are to be the original members and
the original managers, if any, are:
.
(Attach the appropriate certificates from the licensing authority or a comparable authority of another state.)
DOS-1374-f (Rev. 12/22)
Page 2 of 3
SIXTH: Complete parts 1 and 2 of this paragraph only if any of the original members and managers
are domestic or foreign professional service corporations, domestic or foreign professional service limited
liability companies, domestic or foreign registered limited liability partnerships or professional
partnerships.
1. The names of all domestic and foreign professional service corporations, domestic and foreign
professional service limited liability companies, domestic and foreign registered limited liability
partnerships and domestic and foreign professional partnerships who are to be original members and
managers of this professional service limited liability company are:
.
(Attach the appropriate certificates of existence from the jurisdiction of formation, and, in the case of foreign entities,
certificates of the New York State Secretary of State that such foreign entities are authorized to do business in New York.)
2. The names and residence addresses or, if none, the business address of all shareholders, directors,
officers, members, managers or partners of all domestic and foreign professional service corporations,
domestic and foreign professional service limited liability companies, domestic and foreign registered
limited liability partnerships and domestic and foreign professional partnerships who are to be the
original members or managers are:
.
(Attach the appropriate certificates from the licensing authority or a comparable authority of another state.)
X
(Signature of Organizer)
(Type or Print Name of Organizer)
DOS-1374-f (Rev. 12/22)
Page 3 of 3
ARTICLES OF ORGANIZATION
OF
(Insert Name of Professional Service Limited Liability Company)
Under Section 1203 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 basic articles of organization for a
professional service 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 supply stores.
2. The Department of State recommends that legal documents be prepared under the guidance of an attorney.
3. 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.
4. Section 1203(c)(1) requires a certified copy of the articles of organization be filed with the licensing authority within 30 days
after the filing with the Department of State.
(For office use only)
