Lic 309 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the date, facility name, address, and facility number at the top of the form.
  3. In Section I, provide the corporation or LLC name as filed with the Secretary of State, along with incorporation/registration date and place.
  4. Fill in details for the Chief Executive Officer and Corporation/Limited Liability Company Number.
  5. Complete the principal office address and contact person information. Ensure all fields are filled accurately.
  6. For out-of-state applicants, provide details for a California representative including their address and telephone number.
  7. List all individuals owning ten percent or more interest in the corporation or LLC. Attach additional sheets if necessary.
  8. Complete sections regarding directors/managers and officers as applicable, ensuring to include names, addresses, and terms.

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