Form Sfn 50338 - Foreign Professional Limited Liability Partnership Registration

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COMPLETE, PRINT, SIGN, AND FAX OR MAIL

(If paying with credit card complete authorization at bottom of page 3)

FOR OFFICE USE ONLY

FOREIGN PROFESSIONAL LIMITED LIABILITY

ID Number

PARTNERSHIP REGISTRATION

WO Number

SECRETARY OF STATE

SFN 50338 (07-2008)

Filed

1. FILING FEES

2. This registration is a

New registration

60.00

New registration

Amended registration

25.00

Amended registration

Attach a certificate of good standing or a certificate of existence authenticated by the registering officer of the state or country of origin.

The certificate must be dated within ninety days of this registration.

Attach a certificate from the North Dakota regulating board of the profession involved certifying that each of the partners is licensed to

practice the profession.

For reference, see North Dakota Century Code, Chapters 10-31 and 45-22.

TYPE OR PRINT LEGIBLY

SEE REVERSE SIDE FOR FEES, FILING AND MAILING INSTRUCTIONS.

6. Federal ID Number

Name of the Foreign Professional Limited Liability Partnership exactly as it appears on certificate of good standing

from state of origin

Name to be used in North Dakota if different from that in number 5. (SEE INSTRUCTION)

8. State or Country of Origin

9. Complete mailing address of principal executive office which may not be only a post office box (Street/RR, PO Box if applicable, City, State, Zip+4)

10. Expiration date in state or country of origin (month, day, year)

11. Telephone Number

12. Toll-Fee Telephone Number

13. The profession practiced in North Dakota

14A. Name of commercial registered agent in North Dakota

14B. Name of noncommercial registered agent in North Dakota

14C. Address of noncommercial registered agent in North Dakota (Street/RR, PO Box, City, State, Zip+4) May not be only a post office box.

15. Names of all partners who will practice in North Dakota, their Social Security/Federal ID Numbers, and their addresses

SOCIAL

Check box if

NAME

partner is a

COMPLETE MAILING ADDRESS

SECURITY/

managing

FEDERAL ID

Street/RR

PO Box

City

State

Zip +4

partner

NUMBER

16. "The above named partners, acknowledge that the status of limited liability partnership will automatically expire unless a limited liability partnership

status is continuously maintained in the state or country of origin.

The undersigned managing partners, have read the foregoing registration, know the contents thereof, and believe the statements made thereon to be

true. The undersigned further authorizes the Secretary of State to correct numbers 5, 8, 14A and 14B if not correctly reflected."

Signature

Date

Signature

Date

Signature

Date

Signature

Date

17. Name of person to contact about this amendment