Registered Limited Liability Partnership
ANNUAL REPORT
NAME OF REGISTERED LIMITED LIABILITY PARTNERSHIP (RLLP):
STATE OF REGISTRATION: _______
SECRETARY OF STATE RLLP ID NUMBER: __________________
FISCAL YEAR ENDING: ____________________________
MONTH/DAY/YEAR
FEDERAL EMPLOYER ID NUMBER: _____-________________________
IF THIS IS THE INITIAL ANNUAL REPORT FILING, YOU MUST COMPLETE THE ENTIRE FORM. IF YOUR
REGISTERED LIMITED LIABLITY PARTNERSHIP INFORMATION HAS NOT CHANGED SINCE THE
PREVIOUS REPORT, PLEASE CHECK THE BOX AND COMPLETE LINE 7 ONLY.
1. REGISTERED AGENT & REGISTERED OFFICE MAILING ADDRESS:
2. STREET ADDRESS AND COUNTY OF REGISTERED OFFICE:
3. IF THE REGISTERED AGENT CHANGED, SIGNATURE OF THE NEW AGENT:____________________________________________
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
4. ENTER PRINCIPAL OFFICE ADDRESS HERE:
ADDRESS-
CITY-
ST-
ZIP-
5. ENTER PRINCIPAL OFFICE TELEPHONE NUMBER HERE: _______________________________________________________________
PLEASE INCLUDE AREA CODE
6. BRIEFLY DESCRIBE THE NATURE OF BUSINESS:
7. CERTIFICATION OF ANNUAL REPORT MUST BE COMPLETED BY ALL LIMITED LIABILITY PARTNERSHIPS
____________________________________________________
_______________________________________________________
FORM MUST BE SIGNED BY A GENERAL PARTNER
DATE
____________________________________________________
_______________________________________________________
TYPE OR PRINT NAME
TYPE OR PRINT TITLE
ANNUAL REPORT FEE: $200.00 MAIL TO: Secretary of State • Corporations Division • Post Office Box 29525 • Raleigh, NC 27626-0525