Form Lpf-01 - Application For Certificate Of Authority Of Foreign Limited Partnership - 2015 Page 2

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Arkansas Secretary of State
M
M
ark
artin
1401 W. Capitol, Suite 250, Little Rock, AR 72201
501-682-3409 •
Annual Report – Contact Information
(PLEASE TYPE OR PRINT CLEARLY IN INK)
JURISDICTION (SELECT ONE)
Domestic
Foreign
ENTITY TYPE (SELECT ONE)
Limited Partnership
Limited Liability Limited Partnership
In order for this entity to receive its annual reporting form, please complete and file with the Office of the Secretary of
State at the time of filing.
______________________________________________
__________________________________________
Entity name as used in Arkansas
Contact Person
______________________________________________
__________________________________________
Street Address or Post Office Box Number
City, State & Zip
______________________________________________
__________________________________________
Telephone Number
E-mail Address
st
NOTE: Annual Reports will be due on or before May 1
the year following filing or qualification in this state.
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 _____________, __________________.
_______________________________________________
__________________________________________
Signature
Authorized Officer (Type or Print)
LPF-01 Rev. 08/15
Filing Fee $300.00 payable to Arkansas Secretary of State

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