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Robin Carnahan, Secretary of State
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Corporations Division
P.O. Box 778 / 600 W. Main Street, Rm 322
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Jefferson City, MO 65102
Application for Registration of a
Foreign Limited Liability Partnership
(Submit with the following filing fees: Original Application: $5.00 plus $25.00 per partner, not to exceed $105.00;
Renewal: $105.00 plus $50.00 for each additional partner added, not to exceed $205.00)
(
) Original filing
(
) Renewal
(1)
The name of the foreign limited liability partnership is: ___________________________________________________________
(2)
The name that the foreign limited liability partnership will use in Missouri is (must include "Registered Limited Liability
Partnership, "L.L.P.", or "LLP" as the last words or letters of its name) (must be filled out if different from line (1)):
_________________________________________________________________________________________________________
(3)
The foreign limited liability partnership was formed under the laws of ______________________ on the date _______________.
(State or Other Jurisdiction)
(4)
The address of the office required to be maintained in the state or jurisdiction in which it was formed:
________________________________________________________________________________________________________.
Note: If no office required in such state or jurisdiction of organization, the address of the principal office is:
________________________________________________________________________________________________________.
(5)
The name and address of its registered agent and office in the state of Missouri is (this line must be completed and include a street
address):
________________________________________________________________________________________________________
Name
Address
City/State/Zip
The Secretary of State is irrevocably appointed agent for service of process if the foreign limited liability partnership fails to maintain a
registered agent. Note: failure to maintain a registered agent constitutes grounds to cancel the registration of the foreign limited liability
partnership.
(6)
The number of partners in the limited liability partnership as of the date of this Application is __________.
(7)
Brief statement of the partnership's business: ___________________________________________________________________
(8)
Other information (optional): _______________________________________________________________________________
In Affirmation thereof, the facts stated above are true and correct:
(The undersigned understands that false statements made in this filing are subject to the penalties provided under Section 575.040, RSMo)
___________________________________________________________________________________________________
Authorized Signature
Printed Name
Title
Date
___________________________________________________________________________________________________
Authorized Signature
Printed Name
Title
Date
Name and address to return filed document:
Name: __________________________________________
Address: _________________________________________
City, State, and Zip Code: __________________________
LLP- 1 (01/05)