Form Upa-134 - 2012 Annual Continuation Report

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COMMONWEALTH OF VIRGINIA
Filing Due Date:
STATE CORPORATION COMMISSION
VIRGINIA OR FOREIGN
July 1, 2012
Print Form
REGISTERED LIMITED LIABILITY PARTNERSHIP
UPA-134
(07/12)
Filing Fee: $50
2012 ANNUAL CONTINUATION REPORT
The undersigned, on behalf of the registered limited liability partnership set forth below, pursuant to Title
50, Chapter 2.2, Articles 9.1 of the Code of Virginia, states as follows:
MARK ONE: This annual continuation report is for  a partnership OR  a limited partnership.
1. The name of the (mark one)  Virginia OR  foreign registered limited liability partnership is:
_________________________________________________________________________________
_________________________________________________________________________________.
2. The registered limited liability partnership’s SCC ID # issued by the Commission is _______________.
3. (Foreign only) The jurisdiction in which the foreign partnership or limited partnership is registered as
a registered limited liability partnership is _____________________________________________.
(state or other jurisdiction of formation)
4. The current address of the principal office, including the street and number, if any, is:
_________________________________________________________________________________
(number/street)
_________________________________________________________________________________.
(city or town)
(state)
(zip code)
Signed on behalf of the registered limited liability partnership by the following partner, general partner,
receiver or trustee:
_____________________________________________________
________________________
(signature)
(date)
_____________________________________________________
________________________
(printed name)
(telephone number (optional))
_____________________________________________________
(title)
Personal Information, such as a social security number, should NOT be included in a business entity document submitted to the Office of the Clerk
Personal Information, such as a social security number, should NOT be included in a business entity document submitted to the Office of the Clerk
for filing with the Commission. For more information, see Notice Regarding Personal Identifiable Information on the
for filing with the Commission. For more information, see Notice Regarding Personal Identifiable Information on the
Clerk’s Office Home
Clerk’s Office Home
Page.
Page.
SEE INSTRUCTIONS ON THE REVERSE

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