State of California
Secretary of State
STATEMENT BY FOREIGN PARTNERSHIP
(California Corporations Code sections 15800 and 16309)
(This form may not be used to register a foreign limited partnership in California.)
A $25.00 filing fee must accompany this form.
IMPORTANT – Read instructions before completing this form.
This Space For Filing Use Only
1. NAME OF FOREIGN PARTNERSHIP
Jurisdiction (State or Country of Formation)
2. JURISDICTION WHERE THE FOREIGN PARTNERSHIP WAS FORMED
Principal Executive Office
(Please do not abbreviate the name of the city.)
3. PRINCIPAL EXECUTIVE OFFICE ADDRESS
CITY AND STATE
Agent for Service of Process
(If the agent is an individual, the agent must reside in California and both Items 4 and 5 must be completed. If
the agent is a corporation, the agent must have on file with the California Secretary of State a certificate pursuant to Corporations Code section
1505 and Item 4 must be completed (leave Item 5 blank).
4. NAME OF AGENT FOR SERVICE OF PROCESS
5. IF AN INDIVIDUAL, CALIFORNIA ADDRESS OF AGENT FOR SERVICE OF PROCESS
(If the foreign partnership filed a previous statement with the Secretary of State, enter the Secretary of State file number in
Item 6, and if the name under which the foreign partnership previously filed differs from the name entered in Item 1, enter the former name of the
foreign partnership in Item 7. If no prior statements have been filed, leave Items 6 and 7 blank and proceed to Item 8.)
6. SECRETARY OF STATE FILE NUMBER
7. FORMER NAME OF FOREIGN PARTNERSHIP (if different from the name in Item 1 above)
THE INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT.
SIGNATURE OF PERSON COMPLETING THIS FORM
TITLE OF PERSON COMPLETING THIS FORM
TYPE OR PRINT THE NAME OF PERSON COMPLETING THIS FORM
LL-27 (REV 01/2008)
APPROVED BY SECRETARY OF STATE