APPLICATION FOR REGISTRATION AS A Form FLLC-4
FOREIGN LIMITED LIABILITY COMPANY (Cont.)
SPECIFIED EFFECTIVE DATE: January 1, 2015 at 12:01 a.m.
*Signature: /~
Print or type name: Robert L. Delhome
Title: | Manager
Date signed: } zt Léf 4
Complete address of person signing: c/o Charter Contracting Company, LLC
500 Harrison Avenue, Suite 4R
Boston, MA 02118
To receive your ANNUAL REPORT REMINDER NOTICE by email, please enter your email address here:
pminnihan@tbhr-law.com
* Shall be executed on behalf of the foreign limited liability company by a person with authority to do so under the
laws of the state or other jurisdiction of its formation, or, if the foreign limited liability company is in the hands of a
receiver, executor, or other court appointed fiduciary, trustee, or other fiduciary, it must be signed by that fiduciary.
DISCLAIMER: All documents filed with the Corporation Division become public records and will be available for
public inspection in either tangible or electronic form.
Mail fees, DATED AND ORIGINAL AND FORM SRA to: Corporation Division, Department of State, 107
North Main Street, sone Nt 03301-4989. Physical location: 25 Capitol Street, 3” Floor, Concord, NH 03301.
Page 2 of 2
Form FLLC-1 Page 2 (1/2013)
