SW3210401_SoS Doc_20210415

North Carolina Secretary of State Search Results
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an Amended a Annual Report form
Limited Liability Company
Legal Name
Providence Commons, LLC
Information
Sosld: 1816554
Status: Current -Active O
Date Formed: 3/11/2019
Citizenship: Domestic
Annual Report Due Date: April 15th
Currentgnnual Report Status:
Registered Agent: Douglas, Kimberlee
Addresses
Mailing
5925 Carnegie Blvd Ste 200
Charlotte, NC 28209
Reg Mailing
5925 Carnegie Blvd Ste 200
Charlotte, NC 28209
Company Officials
Principal Office
5925 Carnegie Blvd Ste 200
Charlotte, NC 28209
Reg Office
5925 Carnegie Blvd Ste 200
Charlotte, NC 28209
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager Manager
Kimberlee L Rosenburgh Stephen Rosenburgh
5925 Carnegie Blvd., Ste 200 5925 Carnegie Blvd. Ste 200
Charlotte NC 28209 Charlotte NC 28209
htips://www.sosnc.gov/online_services/search/Business Registration_Results 4/14/2021

aLIMITED LIABILITY COMPANY ANNUAL REPORT
10/2017
NAME OF LIMITED LIABILITY COMPANY: Providence Commons, LLC
SECRETARY OF STATE ID NUMBER: 1816554 STATE OF FORMATION: NC
REPORT FOR THE CALENDAR YEAR: 2021
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: Douglas, Kimberlee
2. SIGNATURE OF THE NEW REGISTERED AGENT:
Filing Office Use Only
E - Filed Annual
Report
1816554
Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
5925 Carneqie Blvd Ste 200 5925 Carneqie Blvd Ste 200
Charlotte, NC 28209 Mecklenburg County Charlotte, NC 28209
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Land Deve
2. PRINCIPAL OFFICE PHONE NUMBER: [phone]
4. PRINCIPAL OFFICE STREET ADDRESS
5925 Carnegie Blvd Ste 200
Charlotte, NC 28209
ent
3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
5. PRINCIPAL OFFICE MAILING ADDRESS
5925 Carnegie Blvd Ste 200
Charlotte, NC 28209
6. Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME: Kimberlee L Rosenburgh
TITLE: Manager
ADDRESS:
5925 Carnegie Blvd., Ste 200
Charlotte, NC 28209
NAME: Stephen Rosenburgh
TITLE: Manager
ADDRESS:
5925 Carneqie Blvd. Ste 200
Charlotte, NC 28209
NAME:
TITLE:
ADDRESS:
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Kimberlee L Rosenburgh 4/2/2021
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of This form.
Kimberlee L Rosenburgh Manager
Print or Type Name of Company Official Print or Type Title of Company Official
This Annual Report has been filed electronically.
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525