Form Fnl - Statement Of Foreign Qualification

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C
K
OMMONWEALTH OF
ENTUCKY
T
G
, S
S
REY
RAYSON
ECRETARY OF
TATE
_________________________________________________________________________________________________________________________
Division of Corporations
Statement of Foreign Qualification
FNL
Business Filings
(Foreign Limited Liability Partnership)
PO Box 718
Frankfort, KY 40602
(502) 564-3490
______________________________________________________________________________________
Pursuant to the provisions of KRS 362, the undersigned applies to qualify and for that purpose submits the following
statement:
1.
_______________________________________________________.
The name of the foreign limited liability partnership is
2. The name to be used in Kentucky is___________________________________________________________________________.
3. The state or country of jurisdiction of the organization is___________________________________________________________.
4.
The mailing address of the partnership’s principal office address is:
________________________________________________________________________________________________.
Street Address or Post Office Box Numbers
City
State
Zip
5. The mailing address of the principal office address of any partnership office in Kentucky (if applicable):
________________________________________________________________________________________________.
Street Address or Post Office Box Numbers
City
State
Zip
6. The street address of the partnership’s initial registered office in Kentucky is
________________________________________________________________________________________________.
Street Address (No Post Office Box Numbers)
City
State
Zip
7. The name of the initial registered agent at that office is _____________________________________________________________.
I/We declare under penalty of perjury under the laws of the state of Kentucky that the foregoing is true and correct.
__________________________________________________________________________________________
Signature of Partner
Printed Name
Date
_________________________________________________________________________________________________________________________
Signature of Partner
Printed Name
Date
I, ______________________________________________________, consent to serve as the registered agent on behalf of the limited liability
partnership.
Print Name of Registered Agent
_________________________________________________________________________________________________________________________
Signature of Registered Agent
Printed Name
Date
(09/09)

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