Form Upa-1003-(D) - Renewal Statement Of Domestic Partnership
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DO NOT STAPLE
FORM
Illinois Uniform Partnership ct
File #:
UP -1003-(D)
Renewal Statement of Domestic
Limited Liability Partnership
October 2009
This space for use by
Secretary of State.
Payment may be made by check
Secretary of State
payable to Secretary of State.
Department of Business Services
Limited Liability Division
501 S. Second St., Rm. 357
This space for use by Secretary of State.
Springfield, IL 62756
Date:
217-785-8960
Filing Fee:
pproved:
THIS RENEW L ST TEMENT IS EFFECTIVE FOR ONE YE R. LLP ST TUS WILL EXPIRE IF THIS ST TEMENT
IS NOT FILED WITHIN 60 D YS PRIOR TO THE NNIVERS RY D TE OF THE ORIGIN L REGISTR TION WITH
THE SECRET RY OF ST TE.
DO NOT M KE CH NGES ON THIS FORM. IF CH NGES RE NECESS RY, MENDMENT FORM
UP -1001(h)/1102(g) ND THE $25 FEE IS REQUIRED.
1. Registered Limited Liability Partnership Name: __________________________________________________
______________________________________________________________________________________
2. Federal Employer Identification Number (FEIN): __________________________________________________
3. Effective Date of Initial Registration: _________________________________________________________
4. Address of Chief Executive Office (P.O. Box alone and c/o are unacceptable.): __________________________
______________________________________________________________________________________
5. Illinois Registered Agent: __________________________________________________________________
Illinois Registered Office (P.O. Box alone and c/o are unacceptable.): ________________________________
______________________________________________________________________________________
6. Total Number of Partners (minimum of 2): ________________________________________________________
Fee Per Partner (x $100) (minimum of $200): ____________________________________________________
Total Filing Fee (In no event shall the fee exceed $5,000.): ________________________________________
♻ Printed on recycled paper. Printed by authority of the State of Illinois. November 2009 — 200 — RLLP 2.10
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