Statement Of Qualification Of A Domestic Limited Liability Limited Partnership Form
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1SECRETARY OF STATE
Clear Form
Statement of Qualification
STATE CAPITOL
Print
500 E. CAPITOL AVE.
of a Domestic
PIERRE, S.D. 57501
Limited Liability Limited Partnership
605-773-4845
FILING FEE: $100
Pursuant to SDCL 48-7-1106, the undersigned Limited Partnership hereby registers under SDCL 48-7A-1001 as a limited liability
limited partnership.
1.The name, which shall contain the words “Registered Limited Liability Limited”, or “L.L.L.P.”, or “LLLP” as the last words of
the name, is:
2. The street address of its chief executive office and, if different, the street address of an office in this state if any:
3. The name of its registered agent:
and the street address of its registered office:
4. The partnership elects to be a limited liability limited partnership.
5. The deferred effective date of the registration if it is not to be effective upon filing of the registration:
I declare under penalty of perjury that the contents of the above statement are accurate.
Dated ________________________
___________________________________________________
(Partner Signature)
___________________________________________________
(Partner Signature)
The Consent of Appointment below must be signed by the registered agent.
CONSENT OF APPOINTMENT BY THE REGISTERED AGENT
I, ___________________________________________________________, hereby give my consent to serve as the
(name of registered agent)
registered agent for ____________________________________________________________________________
(limited liability limited partnership name)
__________________________________________
Dated ________________________20_____
(signature of registered agent)
A statement must be executed by at least two partners.
Please submit one original for filing and one copy to receive date stamped acknowledgement of filing
.
d
omesticlllpstatementofqualification july 2006
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