Kentucky Secretary of State
T
G
REY
RAYSON
_________________________________________________________________________________________________
Division of Corporations
Statement of Registration or Renewal
REG
B
F
USINESS
ILINGS
of Limited Liability Partnership
P.O. Box 718
Frankfort, KY 40602
(502) 564-2848
________________________________________________________________________
Pursuant to the provisions of KRS Chapter 362, the undersigned hereby applies for registration or
renewal as a limited liability partnership on behalf of the partnership named below and for that
purpose submits the following statements:
1.
Registration
Renewal
(CHECK ONE)
2. The name of the limited liability partnership is
_____________________________________________________________________________.
3.The state of formation for the Limited Liability Partnership is Kentucky.
4.The principal office address is
_____________________________________________________________________________________.
Address
City
State
Zip Code
5.The number of partners is_____________________________.
6. The names of the partners are
____________________________________________________________________
________________________________________________________________
Name of Partner
Name of Partner
____________________________________________________________________
________________________________________________________________
Name of Partner
Name of Partner
____________________________________________________________________
________________________________________________________________
Name of Partner
Name of Partner
(Attach a continuation sheet , if necessary)
7.The nature of the business of the partnership is
_____________________________________________________________________________
(Brief Description)
_____________________________________________________________________________
The statement is executed by
__________________________
___________________________ ____________________
Signature
Print or type name and title
Date
__________________________
___________________________ ____________________
Signature
Print or type name and title
Date
__________________________
___________________________ ____________________
Signature
Print or type name and title
Date
__________________________
___________________________ ____________________
Signature
Print or type name and title
Date
REG (01/08)
(See attached sheet for instructions)