Natalie E. Tennant
Penney Barker, Manager
Secretary of State
Business & Licensing Division
1900 Kanawha Blvd E.
Tel: (304)558-8000
Bldg 1, Suite 157-K
Fax: (304)558-8381
Charleston, WV 25305
Hrs: 8:30 a.m. – 5:00 p.m. ET
2010 ANNUAL NOTICE
FILE ONE ORIGINAL
WEST VIRGINIA
FEE: $500.00
LIMITED LIABILITY PARTNERSHIP
1. The name of the West Virginia
Limited Liability Company is:
_______________________________________________
The address of the principal office is:
_______________________________________________
2.
(please include mailing address)
_______________________________________________
_______________________________________________
_______________________________________________
If address given in #2 is not in WV,
_______________________________________________
3.
the address of a registered office in
this state is:
_______________________________________________
_______________________________________________
The name and address of the registered _______________________________________________
4.
agent for service of process is:
_______________________________________________
_______________________________________________
Name and Signature of Partner authorized to sign on behalf of the partnership:
5.
________________________________________ ________________________________________
Name
Signature
Submit completed form & annual fee of $500 no later than April 1, 2009.
Make checks payable to the WV Secretary of State and mail to the address on the top of the form.
WV Code §47B-10-1(e) A partnership registered under this section shall pay, in each year following the year
in which its registration is filed, on a date specified by the Secretary of State, an annual fee of five hundred
dollars. The fee must be accompanied by notice, on a form provided by the Secretary of State, of any material
changes in the information contained in the partnership’s registration.
Form LLP-3
Issued by the Office of the Secretary of State
Revised 1/10