Form Upa-1001 - Illinois Statement Of Qualification
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FILE #:
Illinois
FORM UP -1001
Uniform Partnership ct
pril 2010
Statement of Qualification
This space for use by
Submit in duplicate. Please type or print clearly.
Secretary of State.
Payment must be made by certified check, cashier’s check,
Secretary of State
money order, Illinois attorney’s check or Illinois C.P. .’s check.
Department of Business Services
Limited Liability Division
This space for use by Secretary of State.
501 S. Second St., Rm. 357
Springfield, IL 62756
Date:
217-524-8008
Filing Fee: $
pproved:
Federal Employer Identification Number (F.E.I.N.) __________________________________________________
(Required to File)
1. Partnership Name: ________________________________________________________________________
(Name must end with “Registered Limited Liability Partnership,” “Limited Liability Partnership,” “R.L.L.P.,” “L.L.P.” or “RLLP.,” “LLP”)
2. Address of Partnership’s Chief Executive Office: ________________________________________________
______________________________________________________________________________________
Street Address (Must be a street address. P.O. Box alone is unacceptable.)
______________________________________________________________________________________
City, State, ZIP
3. If different from address in number 2, the street address of an office in this state, if any:
______________________________________________________________________________________
______________________________________________________________________________________
4. Registered Agent’s Name and Office Address: (Must be an Illinois resident or company.)
Registered Agent: ________________________________________________________________________
First Name
Middle Initial
Last Name
Registered Office: ________________________________________________________________________
Street Address
City/ZIP
5. Filing Fees:
Filing fee per partner: $100
Number of partners:
Total filing fee:
$
Fees: $100 for each partner, but not less than $200 or more than $5,000.
(Minimum of two partners.)
♻
Printed on recycled paper. Printed by authority of the State of Illinois. June 2010 – 200 – UPA 12.4
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