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Application For The Registration Of Foreign Limited Liability Limited Partnership - Arkansas Secretary Of State

Arkansas Secretary of State

State Capitol • Little Rock, Arkansas 72201-1094

Charlie Daniels

501-682-3409 •

Application for the Registration of

Business Services Division

State Capitol Building

Foreign Limited Liability Limited Partnership

FILE #:

Little Rock, Arkansas

FOR OFFICE USE ONLY

72201-1094

(Please Type or Print)

The name of the Limited Liability Limited Partnership is:

2. The principal office in the state of organization is:

Street and Number

City

State

ZIP

3. The state/ jurisdiction in which it is registered is:

4. The general character of business to be transacted in the State of Arkansas is:

5. The name and address of the agent for service of process in the State of Arkansas is:

(Name)

Street and Number

City

State

ZIP

I hereby state that the above-listed limited liability limited partnership is a registered limited liability limited partnership:

Signed

(General Partner)

(Date)

AFFIDAVIT

Subscribed and sworn to before me, a Notary Public, within and for the county of

, and

the State of Arkansas this

day of

My commission expires:

Signature of Notary Public (Please apply seal below

Filing Fee: $300.00

Rev. 5/05

Application For The Registration Of Foreign Limited Liability Limited Partnership - Arkansas Secretary Of State