Form Bus83 - Limited Liability Partnership Statement Of Qualification (2007)
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MINNESOTA SECRETARY OF STATE
name before you file.
LIMITED LIABILITY PARTNERSHIP
STATEMENT OF QUALIFICATION
CHAPTER 323A
PLEASE TYPE OR PRINT IN BLACK INK.
READ THE INSTRUCTIONS BEFORE COMPLETING THIS FORM
Fee: $135.00
1.
List the Partnership name : _______________________________________________________________________
_________________________________________________________________________________________________
2.
Address of the partnership’s chief executive office:
_________________________________________________________________________________________________
Complete Street Address or Rural Route and Rural Route Box Number City
State
ZIP
(Please note: PO Box is unacceptable)
3.
List office of partnership in Minnesota, if different from item 2:
_________________________________________________________________________________________________
Complete Street Address or Rural Route and Rural Route Box Number City
State
ZIP
(Please note: PO Box is unacceptable)
4.
If there is no office in Minnesota, list name and address of agent of partnership in Minnesota for service of process:
Agent Name: ______________________________________________________________________________________
_________________________________________________________________________________________________
Complete Street Address or Rural Route and Rural Route Box Number City
State
ZIP
(Please note: PO Box is unacceptable)
5.
This partnership elects to be a limited liability partnership.
6.
The effective date of this filing if different from the date of filing, is: _____________________________________.
7.
I certify that I am a partner authorized to sign this document on behalf of this partnership and I further certify that by
signing this document I am subject to the penalties of perjury as set forth in Minnesota Statutes, section 5.15 as if I had
signed this document under oath. Note that this statement must be signed/executed by at least two (2) partners.
_________________________________________
_________________________________________
Signature of a partner
Signature of a partner
_________________________________________
_________________________________________
Print name and daytime telephone number
Print name and daytime telephone number
Print
Reset
bus83 LLP Statement of Qualification Rev. 5-07
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