Annual Report For Limited Partnership/limited Liability Limited Partnership Form - Arkansas Secretary Of State
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1Arkansas Secretary of State
M
M
ark
artin
State Capitol • Little Rock, Arkansas 72201-1094
501-682-3409 •
Business & Commercial Services, 250 Victory Building, 1401 W. Capitol, Little Rock
ANNUAL REPORT FOR LIMITED PARTNERSHIP/
LIMITED LIABILITY LIMITED PARTNERSHIP
(PLEASE TYPE OR PRINT CLEARLY IN INK)
Report Due by May 1st
Domestic
Foreign
1. The name of the Limited Partnership or Limited Liability Limited Partnership is:
____________________________________________________________________________________________________
2. Designated Office Address Information:
a. Street Address: ____________________________________________________________________________________
b. Mailing Address if different: __________________________________________________________________________
3. a. Agent for service of process: Name: _________________________________________________________________
b. Street Address: ____________________________________________________________________________________
c. Mailing Address: ___________________________________________________________________________________
4. If a Domestic Limited Partnership/ Limited Liability Limited Partnership:
a. Street address of principal office______________________________________________________________________
b. Mailing address of principal office_____________________________________________________________________
5. If a Foreign Limited Partnership/ Limited Liability Limited Partnership:
a. Jurisdiction under which entity was formed:____________________________________________________________
b. Fictitious name or alternate name used in Arkansas: ___________________________________________________
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 _______________, __________________.
______________________________________________
______________________________________________
Printed Name and Title of Authorized Officer
Signature and Title of Authorized Officer
$15.00 Filing Fee payable to Arkansas Secretary of State
LP-AR Rev. 08/07
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