Uniform Business Report (Ubr) Instructions

Uniform Business Report (UBR) Instructions

Block 1.

Block 2 & 3.

Block 4.

Block 5.

Block 6.

Block 7.

Block 8.

Block 9.

Block 10.

Block 11.

Block 12.

Block 13.

PLEASE READ ALL INSTRUCTIONS CAREFULLY BEFORE COMPLETING

THE REPORT. IF YOU NEED ASSISTANCE, PLEASE CALL (850) 487-6051.

Reminder:

1. Changes must be typed or printed in ink and legible.

2. Signaturp. in Block 14.

3. Submit with total amount due in the form of a separate check for each filing. (Payable in United States Funds through a United States Bank to Department el StatB./. TilLs

office

strongJy r~commends

payment be made by check rather than money order. The cancelled check or money order is critical in settling a dispute regarding the proper

filing of a report It can be extremely difficult to obtain verification when a money order has been processed. Please verifl.j with your bank that your check has cleared before

calling for the status of your report.

Block 1 is preprinted with the name, document number, mailing address and principal place of business as previously reported to our office. You cannot change the name on

this form. You must file an amendment to change the name. If you filed an amendment after December 3, 1999, reflect the change of name in Block 1. If no name change

has been filed, do not make changes to the form; file it as is and submit a name change amendment promptly. ALL REPORT FILING QUESTIONS SHOULD BE DIRECTED TO

(850) 487-6051.

If the principal place of business address in Block t is incorrect, enter the correct address in Block 2. If the preprinted mailing address in Block 1 is incorrect, enter the new

mailing address in Block 3. A Post Office Box is acceptable.

Complete Block 4 by entering your Federal Employer Identification (FEI) number or checking either applied for or not applicable. If "applied for" is preprinted in Block 4, you

must now provide the FEI number. FEI numbers are not assigned by the Division of Corporations. For assistance with FEI numbers, call the IRS at (800) 829-1040.

Should you desire a certificate reflecting your entity's status after the filing of this report, check the BOX in Block 5 and include an additional $8.75 with your filing fee.

The law requires that each entity have a Registered Agent with a Florida street address. If the computer entry in Block 6 is incorrect, enter the correct information in Block 7.

There is no additional fee to change the Registered Agent on this form.

If a new Registered Agent has been appointed, enter the new agent's name and/or address in box 7. This must be a Florida Street address. A P.O. Box or mail service is NOT

acceptable for service of process. A LIMITED PARTNERSHIP CANNOT SERVE AS ITS OWN REGISTERED AGENT; however, a pnncipal of the limited partnership can.

The new Registered Agent must accept the obligations and this appointment by completing and signing in Block 8. No signature is necessary if the same Registered Agent is

retained. If the Registered Agent is a different entity, the person signing must state their position with the entity.

If blank and a Florida limited partners_hip_, enter the total amount contributed and anticipated to be contributed by the limited partners last reported to this office.

If blank and an out-of-state limited partnership, enter the total anticipated amount of the limited partners contributions allocated to[ the purpose of transacting business in

Florida last reported to this office.

If Florida limited oartnershi~o_, enter the amount of the capital contributions of its limited partners to date.

If o_ut-ef-state limited partnership, enter the amount of the capital contributions of its limited partners that is allocated for the principal purpose of transacting business in

Florida.

(Note: if the amount entered in Block 10 is greater than the amount listed in Block 9, a supplemental affidavit along with a separate filing fee must be submitted. Please refer to

sections 620. 182(4), 620.112, and 620.176, Florida Statutes on how to file a supplemental affidavit.)

Filing Fee:

Computed at a rate of $7 per $1,000 on amount entered in Block 10 or 9 if 10 is blank, with a minimum of $52.50 and a maximum of $437.50.

Supplemental Fee: $88.75 is due in accordance with 607.193, F.S.

The amount due shall be no less than $141.25 ($52.50 + $88.75) and no more than $526.25 ($437.50 + $88.75). For questions concerning filing fees, please call (850] 487-

6051. Please submit your 2000 uniform business report with a separate check made payable to the Fla. Dept. of State in U.S. funds drawn on a U.S. bank.

(Note: If the amount entered in Block 10 is greater than the amount listed in Block 9, a supplemental affidavit along with a separate filing fee must be submitted. Please refer to

sections 620182(4), 620.112, and 620.176, Florida Statutes, on how to file a supplemental affidavit.)

Block 12 contains the general partners last reported to our office. If preprinled, please de net make any marks in Block 12. Note all address changes in Block 13.

Block 13 is for address changes to the existing general partners in Block 12. Changes must be typed or printed and legible. If an address is confidential pursuant to Section

11907(3)(i) Florida Statutes, an alternate address must be provided. Florida Statutes require a physical address be given. The provision of a post office box in Block 13 or on

an attachment is an affirmation under oath that no other address is available.

Block 14.

A general partner must sign this report.

M a i l i n g A d d r e s s :

Division of Corporations

Registration Section

P.O. Box 6327

Tallahassee, FL 32314

I n t e r n e t A d d r e s s :

C o u r i e r A d d r e s s :

Division of Corporations

Registration Section

409 E. Gaines Street

Tallahassee, FL 32399

Phone: (850) 487-6051

Hearing/Voice Impaired may call (850) 487-6096 (TDD)

INFORMATION REGARDING RETURNED CHECK

If the check submitted with this report is returned by a bank for any reason, the report will be cancelled and considered not flied. The Department of State will dissolve/revoke

the entity if a replacement payment with service charge and report are not resubmitted within the prescribed time frame.