PARTNERSHIP REGISTRATION STATEMENT
1.
(Name of Partnership)
2.
3.
(State/County of Formation)
(FEI Number)
4.
(Street Address of Chief Executive Office)
5.
(Street Address of Principal Office in Florida, if applicable)
6. In accordance with s. 620.8105(1)(c)(1 & 2), Florida Statutes, required partner information is provided in one
of the following options:
Attached is a list of the names and mailing addresses of ALL partners and Florida Registration Numbers,
if other than individuals, or:
The name and street address of the agent in Florida who shall maintain a list of the names and addresses
of all partners:
IF OTHER THAN INDIVIDUAL,
NAME & FLORIDA STREET ADDRESS
FLORIDA REGISTRATION
OF FLORIDA AGENT
NUMBER
If any of the partners are other than individuals, its entity name and Florida Registration Number must be listed
below:
Partner Entity Name
Florida Document Number
7. Effective date, if other than the date of filing:
.
(Effective date cannot be prior to the date of filing nor more than 90 days after the date of filing.)
The execution of this statement constitutes an affirmation under the penalties of perjury that the facts stated herein
are true.
Signed this
day of
,
.
Signatures of TWO Partners:
Typed or printed names of partners signing above:
Filing Fee:
$50.00
Certified copy:
$52.50 (optional)
Certificate of Status:
$ 8.75 (optional)
Division of Corporations P.O. Box 6327 Tallahassee, FL 32314