Free Statement of Qualification for Conversion - Arizona

Please mail Registration to: Secretary of State Ken Bennett/ Partnerships Division 1700 West Washington 7th Fl. Phoenix, Arizona 85007 Walk-in service: 14 N. 18th Ave., Phoenix, Arizona Tucson Office: 400 W. Congress, Ste. 252 (602) 542-6187 (800) 458-5842 (within Arizona) Fee: $3.00 per page

Filing Number

SUBMIT IN DUPLICATE with a self-addressed stamped envelope. All correspondence regarding this filing will be sent to the principal office listed below.

STATEMENT OF QUALIFICATION TO BE A LIMITED LIABILITY PARTNERSHIP OR LIMITED LIABILITY LIMITED PARTNERSHIP
A.R.S. §29-1101 To be filed by an Arizona partnership already on record with the Secretary Of State. _____________________________________________________________________________________________
Present name of the partnership (end with proper designation e.g., "Limited Partnership" or "L.P.") Secretary of State File number (optional)

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Name of the partnership after qualification (end with "Limited Liability Partnership" or "Limited Liability Limited Partnership" or "L.L.P" or "L.L.L.P.")

_____________________________________________________________________________________________ Street address of chief executive office in Arizona (PO Box and c/o are not acceptable) City Zip _____________________________________________________________________________________________ Agent for service of process Phone _____________________________________________________________________________________________ Arizona address of agent (PO Box and c/o are not acceptable) City State Zip By filing this application, the Partnership hereby applies for qualification and status as a (check one): _______L.L.P. (Limited Liability Partnership) _______L.L.L.P. (Limited Liability Limited Partnership) The names, addresses and signature of each general partner: _____________________________________________________________________________________________ Printed name Signature _____________________________________________________________________________________________ Street address City State Zip _____________________________________________________________________________________________ Printed name Signature _____________________________________________________________________________________________ Street address City State Zip Delayed effective date if any: ___________________________ ****An affidavit evidencing publication shall be filed with the Secretary of State within ninety days after the filing of the statement of qualification. (Filing Fee $3.00)