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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 Missouri
Limited Liability Limited Partnership
(Submit with the following filing fees: Original Application: $5 plus $25 per general partner, not to exceed $105;
Renewal: $105 plus $50 for each additional general partner added, not to exceed $205)
The following Missouri limited partnership _____________________________________________________________________________
Charter No. ____________________, hereby applies for registration as a limited liability limited partnership, and
states the following:
(
) original filing
(
) renewal
(1)
The name of the registered limited liability limited partnership is: ___________________________________________________
_________________________________________________________________________________________________________
(The name shall contain the words "Registered Limited Liability Limited Partnership" or the abbreviation "L.L.L.P." or the designation "LLLP" as the last words
or letters of its name.)
(2)
The name and address (including street address, city, and zip code) of the registered agent in Missouri is:
______________________________________________________________________________________
(P.O. Box may only be used in conjunction with a physical street address)
(3)
The number of general partners is: __________________________
(4)
Brief statement of partnership's business: _______________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
(5)
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)
_________________________________________________________________________________________________________
Signature of general partner
Printed name
Date
_________________________________________________________________________________________________________
Signature of general partner
Printed name
Date
Name and address to return filed document:
Name: __________________________________________
Address: _________________________________________
City, State, and Zip Code: __________________________
LP-24 (01/05)