Michigan PDF Forms

Michigan PDF Forms

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Documents used along the form

The Michigan LCC 3010 form is essential for reporting stockholders, members, or partners involved in a liquor-related business. Alongside this form, several other documents are commonly required to ensure compliance with state regulations. Below is a list of these documents, each serving a specific purpose in the licensing process.

  • MLCC Application for License (LCC-100): This application is the initial form required to apply for a liquor license in Michigan. It collects information about the business, its owners, and the intended use of the license.
  • Certificate of Good Standing: This document verifies that a business entity is legally registered and compliant with state regulations. It is often requested to ensure the business is in good standing before a license is issued.
  • Bill of Lading with a Supplement: This form is essential in the shipping industry, detailing transportation terms and including necessary provisions. For more information, you can visit billofladingform.com/printable-bill-of-lading-with-a-supplement/.
  • Operating Agreement (for LLCs): This internal document outlines the management structure and operational procedures of a limited liability company. It is necessary to clarify the roles of members and managers within the business.
  • Partnership Agreement: For limited partnerships, this agreement details the relationship between partners, including their contributions, responsibilities, and profit-sharing arrangements. It is crucial for establishing clear terms among partners.
  • Financial Disclosure Statement: This statement provides a detailed overview of the financial status of the business. It may include assets, liabilities, and income sources, helping regulators assess the financial viability of the applicant.
  • Background Check Authorization Form: This form allows the Michigan Liquor Control Commission to conduct background checks on the owners and key personnel of the business. It is a standard requirement to ensure that individuals involved have no disqualifying criminal history.

Each of these documents plays a vital role in the liquor licensing process in Michigan. Ensuring that all forms are accurately completed and submitted will facilitate a smoother review and approval process by the Michigan Liquor Control Commission.

Michigan Lcc 3010 Preview

Michigan Department of Licensing and Regulatory Affairs

Liquor Control Commission (MLCC)

Constitution Hall - 525 W. Allegan, Lansing, MI 48933 Mailing Address: PO Box 30005, Lansing, MI 48909 Toll Free (866) 813-0011 • www.michigan.gov/lcc

Report of Stockholders/Members/Partners

(Authorized by MCL 436.1529(1); R 436.1051 and R 436.1110)

Business ID:

Request ID:

(For MLCC use only)

Name and Registered Address of Entity

Name of entity:

Address:

City, State, Zip

Corporations - Please complete this section and attach more copies of this page if more room is needed.

Name and address of all stockholders:

 

Certificate Numbers: Shares Issued: Date Issued/Acquired:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name and address of Corporate Officers and Directors, pursuant to administrative rule R 436.1109:

Limited Liability Companies - Please complete this section and attach more copies of this page if more room is needed.

Name and address of all members:

 

Percent % Issued: Date Issued/Acquired:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name and address of Managers and Assignees, pursuant to administrative rule R 436.1110:

LCC-3010 (06/14)

LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities.

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Michigan Department of Licensing and Regulatory Affairs

Liquor Control Commission (MLCC)

Constitution Hall - 525 W. Allegan, Lansing, MI 48933 Mailing Address: PO Box 30005, Lansing, MI 48909 Toll Free (866) 813-0011 • www.michigan.gov/lcc

Report of Stockholders/Members/Partners

(Authorized by MCL 436.1529(1); R 436.1051 and R 436.1110)

Business ID:

Request ID:

(For MLCC use only)

Limited Partnerships - Please complete this section and attach more copies of this page if more room is needed.

Name and address of all partners:

 

Percent % Issued: Date Issued/Acquired:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name and address of Managers, pursuant to administrative rule R 436.1111:

Signature of Applicant:

I certify that the information contained in this form is true and accurate to the best of my knowledge and belief. I agree to comply with all requirements of the Michigan Liquor Control Code and Administrative Rules. I also understand that providing false or fraudulent information is a violation of the Liquor Control Code pursuant to MCL 436.2003.

Date

Print name of applicant/licensee and title

Signature of applicant/licensee

LCC-3010 (06/14)

LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities.

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Similar forms

  • Michigan LCC 3010 Form - This form is specifically used to report stockholders, members, or partners of a business applying for a liquor license in Michigan. It collects detailed information about ownership and management structure.
  • Georgia WC-14 form: This essential document notifies the Georgia State Board of Workers' Compensation about workplace injury claims. For more information, refer to Forms Georgia, which provides further guidance on the proper completion and submission of this form.
  • Michigan LCC 3005 Form - Similar to the LCC 3010, this form is also used for liquor licensing purposes. It focuses on the business entity's basic information and its type, ensuring compliance with state regulations.
  • Michigan LCC 3011 Form - This document serves as a financial disclosure statement for businesses seeking a liquor license. Like the LCC 3010, it requires detailed information about ownership but emphasizes financial aspects.
  • Michigan LCC 3006 Form - This form is used for reporting changes in ownership or management after a liquor license has been issued. It shares the purpose of maintaining transparency in ownership, similar to the LCC 3010.

Misconceptions

Here are four common misconceptions about the Michigan LCC 3010 form:

  • Only corporations need to fill out the form. Many believe that only corporations are required to submit the LCC 3010 form. In reality, limited liability companies (LLCs) and limited partnerships must also complete this form to report their members and partners.
  • The form is only for new businesses. Some think that the LCC 3010 form is only necessary for new liquor license applicants. However, existing businesses must also submit this form whenever there are changes in ownership or structure, ensuring that the Michigan Liquor Control Commission has up-to-date information.
  • Filing the form is optional. There is a misconception that submitting the LCC 3010 form is optional. This is incorrect. The form is a legal requirement under Michigan law, and failing to file it can result in penalties or complications with your liquor license.
  • All information is confidential. Some individuals believe that all details provided on the form are confidential. While personal data may be protected, certain information is public and can be accessed by the public, including the names of stockholders and partners.

Detailed Instructions for Using Michigan Lcc 3010

Filling out the Michigan LCC 3010 form is a straightforward process that requires careful attention to detail. This form collects essential information about stockholders, members, or partners in a business. Completing it accurately is crucial for compliance with state regulations.

  1. Begin by entering the Business ID and Request ID in the designated fields at the top of the form.
  2. Provide the Name and Registered Address of your entity, including the City, State, and Zip Code.
  3. If your business is a corporation, fill out the section for Stockholders:
    • List the Name and Address of all stockholders.
    • Include Certificate Numbers, Shares Issued, and Date Issued/Acquired.
    • Provide the Name and Address of all Corporate Officers and Directors.
  4. If your business is a Limited Liability Company (LLC), complete the section for Members:
    • List the Name and Address of all members.
    • Indicate the Percent Issued and Date Issued/Acquired.
    • Provide the Name and Address of all Managers and Assignees.
  5. If your business is a Limited Partnership, fill out the section for Partners:
    • List the Name and Address of all partners.
    • Include Percent Issued and Date Issued/Acquired.
    • Provide the Name and Address of all Managers.
  6. Sign the form in the Signature of Applicant section, certifying that the information is true and accurate.
  7. Print your name and title in the designated area below your signature.
  8. Finally, ensure that the completed form is submitted to the appropriate Michigan Liquor Control Commission address.

Dos and Don'ts

When filling out the Michigan LCC 3010 form, it's essential to ensure accuracy and compliance. Here are nine important dos and don'ts to guide you through the process:

  • Do double-check all information before submission to avoid delays.
  • Do use clear and legible handwriting if completing the form by hand.
  • Do provide complete names and addresses for all stockholders, members, or partners.
  • Do ensure that the certificate numbers and shares issued are accurately reported.
  • Do sign and date the application to validate the information provided.
  • Don't leave any sections blank; fill in all required fields.
  • Don't submit the form without reviewing the Michigan Liquor Control Code and Administrative Rules.
  • Don't provide false information, as this can lead to legal consequences.
  • Don't forget to attach additional pages if you need more space for information.