Secretary of State LLC-12 19-C18524

Statement of Information
(Limited Liability Company) FILED
In the office of the Secretary of State
IMPORTANT — Read instructions before completing this form. of the State of California

Filing Fee – $20.00

JUN 05, 2019
Copy Fees – First page $1.00; each attachment page $0.50;
Certification Fee - $5.00 plus copy fees
This Space For Office Use Only
1. Limited Liability Company Name (Enter the exact name of the LLC. If you registered in California using an alternate name, see instructions.)
GARAGE 43 LLC
2. 12-Digit Secretary of State File Number 3. State, Foreign Country or Place of Organization (only if formed outside of California)
201912810384 CALIFORNIA
4. Business Addresses
a. Street Address of Principal Office - Do not list a P.O. Box City (no abbreviations) State Zip Code
4851 Valerio Street Dublin CA 94568
b. Mailing Address of LLC, if different than item 4a City (no abbreviations) State Zip Code
4851 Valerio Street Dublin CA 94568
c. Street Address of California Office, if Item 4a is not in California - Do not list a P.O. Box City (no abbreviations) State Zip Code
4851 Valerio Street Dublin CA 94568
If no managers have been appointed or elected, provide the name and address of each member. At least one name and address
must be listed. If the manager/member is an individual, complete Items 5a and 5c (leave Item 5b blank). If the manager/member is
5. Manager(s) or Member(s) an entity, complete Items 5b and 5c (leave Item 5a blank). Note: The LLC cannot serve as its own manager or member. If the LLC
has additional managers/members, enter the name(s) and addresses on Form LLC-12A (see instructions).
a. First Name, if an individual - Do not complete Item 5b Middle Name Last Name Suffix
Qingsong Cao
b. Entity Name - Do not complete Item 5a

c. Address City (no abbreviations) State Zip Code

4851 Valerio Street Dublin CA 94568
6. Service of Process (Must provide either Individual OR Corporation.)
INDIVIDUAL – Complete Items 6a and 6b only. Must include agent’s full name and California street address.
a. California Agent's First Name (if agent is not a corporation) Middle Name Last Name Suffix
Qingsong Cao
b. Street Address (if agent is not a corporation) - Do not enter a P.O. Box City (no abbreviations) State Zip Code
4851 Valerio Street Dublin CA 94568
CORPORATION – Complete Item 6c only. Only include the name of the registered agent Corporation.
c. California Registered Corporate Agent’s Name (if agent is a corporation) – Do not complete Item 6a or 6b

7. Type of Business
a. Describe the type of business or services of the Limited Liability Company
Automotive Modification
8. Chief Executive Officer, if elected or appointed
a. First Name Middle Name Last Name Suffix
QIngsong Cao
b. Address City (no abbreviations) State Zip Code
4851 Valerio Street Dublin CA 94568
9. The Information contained herein, including any attachments, is true and correct.

06/05/2019 Qingsong Cao Manager

_____________________ ____________________________________________________________ _________________________ __________________________________
Date Type or Print Name of Person Completing the Form Title Signature
Return Address (Optional) (For communication from the Secretary of State related to this document, or if purchasing a copy of the filed document enter the name of a
person or company and the mailing address. This information will become public when filed. SEE INSTRUCTIONS BEFORE COMPLETING.)

Name:  
Company:

Address:
City/State/Zip:  

LLC-12 (REV 01/2017)

Page 1 of 1 2017 California Secretary of State
www.sos.ca.gov/business/be