STATEMENT OF QUALIFICATION
Secretary of State Office
500 E Capitol Ave
OF A DOMESTIC LIMITED
Pierre, SD 57501
(605)773-4845
Clear Form
LIABILITY LIMITED PARTNERSHIP
Please Type or Print Clearly in Ink
HELP
Original
Photocopy
Please submit one
and one
FILING FEE: $125
SECRETARY OF STATE
payable to
Telephone # ____________________
FAX #
_______________________
1. The name of the partnership is _____________________________________________________________________
______________________________________________________________________________________________
The name shall contain the words “Registered Limited Liability Limited Partnership”, or “L.L.L.P.”, or “LLLP” as the last words of the name.
2. The street address of the partnership’s chief executive office.
______________________________________________________________________________________________
Street Address
City
State
ZIP+4
______________________________________________________________________________________________
Mailing Address (Optional)
City
State
ZIP+4
3. If the address listed in number 2 is not a South Dakota street address question number 4 must be completed.
4. The South Dakota Registered Agent name ____________________________________________________________
______________________________________________________________________________________________
Street Address or Rural Route Box Number in This State and
City
State
ZIP+4
______________________________________________________________________________________________
Mailing Address in This State, if Different from Street Address
City
State
ZIP+4
When listing a Commercial Registered Agent, please state their CRA #.
This number can be obtained from the Commercial Registered Agent.
_______________________________
5. The partnership elects to be a limited liability limited partnership.
6. The deferred effective date of the registration if it is not to be effective upon filing of the registration
____________________________________________