State of California
Secretary of State
LIMITED LIABILITY PARTNERSHIP
ALTERNATIVE SECURITY PROVISION
IMPORTANT – Read instructions before completing this form.
This Space For Filing Use Only
1.
INITIAL FILING (No filing fee is required.)
ANNUAL CONFIRMATION (A $30 filing fee is required.)
THE UNDERSIGNED HEREBY CONFIRMS THE FOLLOWING:
FILE NUMBER, IF ANY
2. CALIFORNIA SECRETARY OF STATE FILE NUMBER, IF ANY
ENTITY NAME
3. NAME OF THE REGISTERED LIMITED LIABILITY PARTNERSHIP OR FOREIGN LIMITED LIABILITY PARTNERSHIP
JURISDICTION
4. JURISDICTION WHERE THE PARTNERSHIP IS ORGANIZED
PRINCIPAL OFFICE ADDRESS
(Do not abbreviate the name of the city.)
5. ADDRESS
CITY AND STATE
ZIP CODE
STATEMENT PURSUANT TO
SECTION 16956
(The following statement is required by statute and may not be altered.)
6. The registered or foreign limited liability partnership chooses to satisfy the requirements of section 16956 by confirming, pursuant to section
16956(a)(1)(D), 16956(a)(2)(D), or 16956(a)(3)(D) and pursuant to section 16956(c), that, as of the most recently completed fiscal year, the
partnership had a net worth equal to or exceeding ten million dollars ($10,000,000) in the case of a partnership providing accountancy
services, fifteen million dollars ($15,000,000) in the case of a partnership providing legal services, or ten million dollars ($10,000,000) in the
case of a partnership providing architectural services.
EXECUTION
7.
I DECLARE I AM THE PERSON WHO EXECUTED THIS INSTRUMENT, WHICH EXECUTION IS MY ACT AND DEED.
SIGNATURE OF AUTHORIZED PERSON EXECUTING THIS FORM
DATE
TYPE OR PRINT NAME OF AUTHORIZED PERSON EXECUTING THIS FORM
TITLE OF AUTHORIZED PERSON EXECUTING THIS FORM
8.
RETURN TO:
NAME
FIRM
ADDRESS
CITY/STATE
ZIP CODE
LLP-3 (REV 03/2005)
APPROVED BY SECRETARY OF STATE
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