Form Upa-1003-(D) - Renewal Statement Of Domestic Llp - Illinois Uniform Partnership Act
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DO NOT STAPLE
FORM
Illinois Uniform Partnership Act
This space for use by
UPA-1003-(D)
Renewal Statement of Domestic
Secretary of State.
Limited Liability Partnership
March 2008
Secretary of State
Department of Business Services
Limited Liability Division
501 S. Second St., Rm. 357
Springfield, IL 62756
This space for use by Secretary of State.
217-785-8960
Date:
Assigned File #:
Payment must be made by certified check,
cashier’s check, Illinois attorney’s check,
Filing Fee:
Illinois C.P.A.’s check or money order
Approved:
payable to Secretary of State.
This renewal application is effective for one year, and will expire if not renewed within 60 days prior to
the anniversary date of the original registration with the Secretary of State.
DO NOT MAKE CHANGES ON THIS FORM. IF CHANGES ARE NECESSARY, AMENDMENT FORM UPA-1105
AND THE $25 FEE IS REQUIRED.
1. Registered Limited Liability Partnership Name: __________________________________________________
2. Federal Employer Identification Number (FEIN): ________________________________________________
3. Effective Date of Initial Registration: ________________________________________________________
4. Secretary of State Assigned File Number: ______________________________________________________
5. Address of Chief Executive Office (P.O. Box alone and c/o are unacceptable.): __________________________
______________________________________________________________________________________
6. Illinois Registered Agent: __________________________________________________________________
Illinois Registered Office (P.O. Box alone and c/o are unacceptable.): ________________________________
______________________________________________________________________________________
7. Total Number of Partners: __________________________________________________________________
Fee Per Partner (x $100): __________________________________________________________________
Total Filing Fee (In no event shall the fee exceed $5,000.): ________________________________________
(page 1)
Printed by authority of the State of Illinois. March 2008 — 200 — RLLP 2.8
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