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Statement Of Qualification Of Foreign 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

STATEMENT OF QUALIFICATION OF

FOREIGN LIMITED LIABILITY PARTNERSHIP

(UNDER ACT 1518 of 1999)

(PLEASE TYPE OR PRINT CLEARLY IN INK)

1. The name of the Limited Liability Partnership is (name must end with “Registered Limited Liability Partnership”,

“Limited Liability Partnership”, “R.L.L.P’, “L.L.P”, “FLLP”, or “LLP”.) : ______________________________________

_____________________________________________________________________________________________

2. State of origination: _____________________________________________________________________________

3. Street address of the partnership’s chief executive office is:______ ________________________________________

_____________________________________________________________________________________________

Street & Number

City, State & ZIP

4. Street address of an office in Arkansas if different from the chief executive office: _____________________________

_____________________________________________________________________________________________

Street & Number

City, State & ZIP

5. The name and address of the agent for service of process in the State of Arkansas is: _________________________

_____________________________________________________________________________________________

Street & Number

City, State & ZIP

6. Deferred effective date, if any: _____________________________________________________________________

I, hereby, state that the above-listed limited liability partnership is a registered limited liability partnership and satisfies the

requirements of the state or other jurisdiction under whose laws it is formed.

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 __________________________, ___________________.

________________________________________________

_____________________________________________

General Partner (Typed or Printed)

General Partner (Signature)

$300.00 Filing Fee payable to Arkansas Secretary of State

Rev. 03/08

Statement Of Qualification Of Foreign Limited Liability Partnership - Arkansas Secretary Of State