Annual Report Limited Liability Partnership Form - Arkansas Secretary Of State printable pdf download

Annual Report Limited Liability Partnership Form - Arkansas Secretary Of State

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ANNUAL REPORT LIMITED LIABILITY PARTNERSHIP

(PLEASE TYPE OR PRINT CLEARLY IN INK)

Report Due April 1

The undersigned, pursuant to Act 1518 of 1999, sets forth the following:

Name and state or jurisdiction under whose laws Limited Liability Partnership is formed: ___________________________

_________________________________________________________________________________________________

Current Street Address: _____________________________________________________________________________

_____________________________________________________________________________

(Chief Executive Office)

_____________________________________________________________________________

Current Street Address: _____________________________________________________________________________

_____________________________________________________________________________

(Office in this State, if different)

_____________________________________________________________________________

Current Agent for Service of Process:

_________________________________________________________________________________________________

Name

_________________________________________________________________________________________________

Street Address

City, State & Zip

Statement of Qualification Date: _______________________________________________________________________

E-mail Address: ___________________________________________________________________________________

I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class

C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days.

Executed this _______________________, day of ________________________, ______________________.

________________________________________________

_____________________________________________

Authorizing Officer (Type or Print)

Signature of Partner

Please verify that the address information on the reverse side is correct. If it is not correct please indicate changes in the

space provided below.

Remittance must accompany this report; make checks payable to Arkansas Secretary of State.

Filing Fee $15.00 Payable to Arkansas Secretary of State

Rev. 09/08

Annual Report Limited Liability Partnership Form - Arkansas Secretary Of State