Form F3lp-02 - Application For Certificate Of Authority Of Foreign Limited Liability Limited Partnership - 2008 Page 2

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Arkansas Secretary of State
M
M
ark
artin
State Capitol • Little Rock, Arkansas 72201-1094
501-682-3409 •
Business & Commercial Services, 250 Victory Building, 1401 W. Capitol, Little Rock
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)
Filing Fee $300.00 payable to Arkansas Secretary of State
F3LP-02 Rev. 03/08

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