Annual Report - State Of Arizona - Office Of The Secretary Of State

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State of Arizona – Office of the Secretary of State

RITE IN

HIS

PACE

Annual Report Pursuant to A.R.S. § 29-1103

All Partnerships (Liability in Title)

SEND BY MAIL TO:

Secretary of State Ken Bennett, Atten: Limited Partnerships

1700 W. Washington Street, FL. 7, Phoenix, AZ 85007-2808

OR return this application in person:

KEN BENNETT

PHOENIX - State Capitol Executive Tower,

TUCSON - Arizona State Complex,

Secretary of State

1700 W. Washington Street, 1st Fl., Room 103

400 W. Congress, 1st Fl., Suite 139-1

Office Hours: Monday through Friday, 8 a.m. to 5 p.m., except state holidays.

PLEASE NOTE: All correspondence regarding this filing will be sent to the principal office identified on this certificate.

This application must be submitted with a self-addressed, stamped envelope with applicable filing fees.

FFICE

NLY

SOSBS ARS291103 R

. 04/02/2014

INSTRUCTIONS

When to use this form: To be filed with an annual report for any

Filing Fee and Payment: $3 filing fee; Checks or money orders shall

partnership with “liability” in the title. Reports are due every year

be made payable to the Secretary of State. Credit cards are not

between January 1 and April 30.

accepted.

Late Fee: Any annual report received after April 30 is subject to a late-

Received after April 30: $25 dollar additional penalty fee.

penalty fee. Enclose an additional $25 dollars upon submission.

Processing: 2-3 weeks; expedited service fee $25 (24-48 hours).

Be Accurate: Complete all applicable fields on this form. Write legibly;

Website: All forms are available on the Secretary of State’s Website,

or fill out this application online at and print it.

Submission: Submit this report in duplicate (one original, one copy)

Questions? Call (602) 542-6187; in-state/toll-free (800) 458-5842.

with a self-addressed, stamped envelope with payment. Any other

matters, please attach additional sheets with filing.

1. Partnership information

Any Partnership with “Liability” in the Title

Name of the Partnership on File

Secretary of State Registration No.

Domestic State of Formation of Foreign Partnership, if applicable

Date of formation

a. Principal office

informationhis state:

Street address (P.O. Box or C/O are unacceptable)

City

State Zip Code

b. Office address maintained in the state of organization

Address

City

State Zip Code

2. Agent for service of process information

Phone number (include area code)

Optional

Agent for service of process

(

)

Arizona address of agent (P.O. Box or C/O are unacceptable)

City

State

Zip Code

3. Attestation:

I/we, the undersigned, declare under penalty of law, that I/we have examined the attached report and to the best of my/our knowledge, believe it

to be true, correct and complete.

The names and signatures of each CURRENT general partner:

Name of General Partner

Signature

Month

Day

Year

Name of General Partner

Signature

Month

Day

Year

Name of General Partner

Signature

Month

Day

Year

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State of Ari zo na – A nnual Report P urs ua nt to A.R.S . § 29 -110 3 - Li mi ted Li abili ty Partners hi p or Forei gn Li mi ted Li abili ty Partners hi p