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Application For Registration Of Limited Liability Partnership - Arkansas Secretary Of State

Arkansas Secretary of State

ark

artin

State Capitol • Little Rock, Arkansas 72201-1094

501-682-3409 •

Business & Commercial Services, 250 Victory Building, 1401 W. Capitol, Little Rock

APPLICATION FOR REGISTRATION

OF LIMITED LIABILITY PARTNERSHIP

(PLEASE TYPE OR PRINT CLEARLY IN INK)

1. The name of the limited liability partnership is: ________________________________________________________

_____________________________________________________________________________________________

2a. The address of the principal office of the limited liability partnership is: _____________________________________

_____________________________________________________________________________________________

2b. The address of an office in Arkansas, if different from the principal office: ___________________________________

_____________________________________________________________________________________________

3. The name and address of the agent for service of process for the limited liability partnership is: __________________

_____________________________________________________________________________________________

4. Statement of intent to be a limited liability partnership: __________________________________________________

_____________________________________________________________________________________________

5. Deferred effective date, if any: _____________________________________________________________________

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.

Authorizing Officers: ________________________________________________________________________________

(Type or Print)

Authorizing Signature: ______________________________________________________________________________

(Partner)

(Date)

Authorized Signature: _______________________________________________________________________________

(Partner)

(Date)

$50.00 Filing Fee payable to Arkansas Secretary of State

Rev. 03/08

Application For Registration Of Limited Liability Partnership - Arkansas Secretary Of State