APPLICATION FOR CERTIFICATE OF AUTHORITY OF FOREIGN LIMITED LIABILITY LIMITED PARTNERSHIP
(PLEASE TYPE OR PRINT CLEARLY IN INK)
I, _____________________________________________________, general partner of ______________________________________________ _________________________________________________a Limited Liability Limited Partnership, do hereby submit the following statement in compliance with the Uniform Limited Partnership Act (2001), providing for the registration of Foreign Limited Liability Limited Partnerships in the State of Arkansas: 1. 2. 4. 5. Name under which to conduct business in Arkansas: ______________________________________________________________________ Jurisdiction organized: _____________________________________________ 3. Date of formation: _______________________________ The general character of business to be transacted in the State of Arkansas is: _________________________________________________ ________________________________________________________________________________________________________________ Registered agent information: (for service of process in Arkansas): Name: _____________________________________________________ Street Address: ___________________________________________________________________________________________________ City, State Zip: ____________________________________________________________________________________________________ Mailing Address: __________________________________________________________________________________________________ City, State Zip: ____________________________________________________________________________________________________ 6. Principal office information: Street Address: ____________________________________________________________________________ City, State Zip:____________________________________________________________________________________________________ Mailing Address: __________________________________________________________________________________________________ City, State Zip: ____________________________________________________________________________________________________ 7. Provide name, street and mailing address of each general partner. Name: ___________________________________________ Street Address: __________________________________________________ Mailing Address: __________________________________________________________________________________________________ Name: ___________________________________________ Street Address: __________________________________________________ Mailing Address: __________________________________________________________________________________________________ Name: ___________________________________________ Street Address: __________________________________________________ Mailing Address: ___________________________________________________________________________________________________ Attach additional pages if necessary. 8. A certificate of existence (or equivalent document) duly authenticated and certified by the proper authority must be attached.
I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days. Executed this _____________________day of __________________________, __________________________. ___________________________________________________
Signature of General Partner
____________________________________________________________
Printed Name of General Partner
Filing Fee $300.00 payable to Arkansas Secretary of State
F3LP-02 Rev. 03/08
Annual Report Contact Information
PLEASE TYPE OR PRINT CLEARLY IN INK
JURISDICTION (SELECT ONE)
DOMESTIC FOREIGN
ENTITY TYPE (SELECT ONE)
LIMITED PARTNERSHIP LIMITED LIABILITY LIMITED PARTNERSHIP
In order for this entity to receive its annual reporting form, please complete and file with the Office of the Secretary of State at the time of filing.
_____________________________________________________
Entity name as used in Arkansas
__________________________________________________
Contact Person
_____________________________________________________
Street Address or Post Office Box Number
__________________________________________________
City, State & Zip
_____________________________________________________
Telephone Number
__________________________________________________
E-mail Address
NOTE: Annual Reports will be due on or before May 1st the year following filing or qualification in this state.
I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days. Executed this ___________ day of _____________, __________________.
_____________________________________________________
Signature
__________________________________________________
Authorized Officer (Type or Print)
Filing Fee $300.00 payable to Arkansas Secretary of State
F3LP-02 Rev. 03/08