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Client Name:

Entity Formation
2024 Please provide us the following details:

1 Preferred name of the business (Choice 1) Zelion Solutions


Alternate business name (Choice 2) Zelion Technologies

2 Owner/s information: Name Address Email Address Phone number

B 404, Konark Meadows, BAIF Road, Wagholi, Pune 412207,


Sameer Narendra Karsale Maharashtra, INDIA Zelite.US@Zelitesolutions.com (+91)9881126430
B 404, Konark Meadows, BAIF Road, Wagholi, Pune 412207,
Sulmiza Philo Rodrigues Maharashtra, INDIA (+91)9822772189
Ashish Krushna Dhande Sai Apartment, Flat No 7, 35/3/1 Vitthalwadi, Akurdi, Pune 411035, Maharashtra, INDIA (+91)9823996284
Deivanai Chidambaram 11 Franklin Dr,Plainsboro,NJ 08536 7326665383

3 Business address

4 Registered Agent Name Address

5 Business purpose IT Services and Consulting

6 Do you have or will have employees within next 6 months?

7 NAICS code

8 Brief description of product/service


IT Services and Consulting
9 The State in which you want to form an entity Delaware

10 Please describe your business product/services and also provide IT Services and Consulting
info about the different state/s in which you will be selling goods/services
(This will help us evaluate the need for 'Sales & Use Tax' registration
with specific state/s based on the state/s legislation)

11 Also, provide the names, addresses, phone numbers and email addresses
for the following: Name Address Phone number Email address
a)President/ Director Sameer Narendra Karsale B 404, Konark Meadows, BAIF Road, Wagholi, Pune (+91)9881126430 sameer@zelitesolutions.com
a) Vice President/ Director
a) Director Ashish Krushna Dhande Sai Apartment, Flat No 7, 35/3/1 Vitthalwadi, Akur (+91)9823996284 ashish.d@zelitesolutions.com
a) Director Sulmiza Philo Rodrigues B 404, Konark Meadows, BAIF Road, Wagholi, Pune (+91)9822772189 sulmiza@yahoo.co..in

12 Please provide the name of the bank in which you are going to open account for this LLC
and also mention the name/s of signatory to this account so that we can draft bank resolution accordingly
Capital
SSN Date of Birth Ownership % Contribution

12/24/1980 24% 60%

2/28/1983 24%
2/6/1984 12%

hish.d@zelitesolutions.com
username vshah@dollartaxsavers.com
Password Dollar$01

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