State of Missouri
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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
Limited Liability Partnership
(See instructions for filing fees)
The undersigned partners, for the purpose of forming a registered limited liability partnership, state the following:
(
) Original filing
(
) Renewal
Registration number: ___________________________________
(1)
The name of the registered limited liability partnership is: ________________________________________________________
________________________________________________________________________________________________________
(The name shall contain the words "Registered Limited Liability Partnership" or the abbreviation "L.L.P." or the designation "LLP" as the last words or letters of
its name.)
(2)
The name and address (including, street, city and zip code) of the initial registered agent in this state is:
________________________________________________________________________________________________________
(P.O. Box may only be used in conjunction with a physical street address)
(3)
Number of partners: _____________________
(4)
Brief statement of partnership's business: _____________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
(5)
Other information (optional): _______________________________________________________________________________
_______________________________________________________________________________________________________
(6)
This application has been executed by a majority of the partners or by one or more partners authorized by a majority in interest of
the partners.
By: ___________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
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)
____________________________________________________________________________________________________
Signature
Printed Name
Date
Name and address to return filed document:
Name: __________________________________________
Address: _________________________________________
City, State, and Zip Code: __________________________
LLP- 6 (01/05)