Form Foreign Llp Reg1999.01 - Application For Registration Of Foreign Limitedliability Partnership - 2001

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Office Use Only:
DEAN HELLER
Application for Registration of
Secretary of State
Foreign Limited-
Liability Partnership
202 North Carson Street
Carson City, Nevada 89701-4201
(PURSUANT TO NRS 87)
(
775) 684 5708
Important: Read attached instructions before completing form.
1.
Name of Foreign
Limited-Liability
Partnership:
2.
Name Being
Registered
with Nevada:
(see instructions)
3.
Date of Formation
and State or
Country in which
Partnership was
_________________________
_____________________________________
formed:
Date Formed
State or Country where authorized
4.
Resident Agent
________________________________________________________________________________
Name and Street
Name
Address:
(must be a Nevada address
__________________________________________________________, NEVADA ____________
where process may be
Physical Street Address
City
Zip Code
served)
__________________________________________________________, ________ ____________
Additional Mailing Address
City
State
Zip Code
5.
Street Address of
__________________________________________________________, ________ ____________
Principal Office:
Street Address
City
State
Zip Code
6.
Names and
1._______________________________________________________________________________
Business
Name
Addresses of each
__________________________________________________________, ________ ____________
Managing Partner
Street Address
City
State
Zip Code
in this State:
(attach additional pages if
there are more than 2)
2._______________________________________________________________________________
Name
__________________________________________________________, ________ ____________
Street Address
City
State
Zip Code
7. Description of
Professional
Services to be
Rendered:
8. Name and
Signature of
_____________________________________
_______________________________________
Managing Partner
Name
Signature
making Statement:
(see instructions; attach
additional pages if more
_____________________________________
_______________________________________
than two)
Name
Signature
It is hereby declared and affirmed under the penalties of perjury that I am (we are) the person(s) who executed this
Certificate of Registration, which execution is my (our) act and deed and that the partnership, hereafter, will be a
registered limited-liability partnership.
9. Certificate of
Acceptance of
I, _____________________________________________hereby accept appointment as Resident Agent for the above
Appointment of
named Foreign Limited-Liability Partnership.
Resident Agent:
____________________________________________________
______________________________________
Authorized Signature of R.A. or On Behalf of R.A. Company
Date
This form must be accompanied by appropriate fees. See attached fee schedule.
Nevada Secretary of State Form FOREIGN LLP REG1999.01
Revised on: 08/20/01

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