ROSS MILLER Secretary of State 204 North Carson Street, Suite 4 Carson City, Nevada 89701-4520 (775) 684 5708 Website: www.nvsos.gov
Application of Registration for Foreign Limited-Liability Partnership
(PURSUANT TO NRS CHAPTER 87)
USE BLACK INK ONLY - DO NOT HIGHLIGHT ABOVE SPACE IS FOR OFFICE USE ONLY
1. Name of Foreign Limited-Liability Partnership: 2. Name Being Registered with Nevada: (see
instructions)
3. Date and State or Country of Formation: 4. Registered Agent for Service of Process: (check
only one box)
Date Formed Commercial Registered Agent:
Name
State or Country where Authorized
Noncommercial Registered Agent (name and address below)
OR
Office or Position with Entity
(name and address below)
Name of Noncommercial Registered Agent OR Name of Title of Office or Other Position with Entity
Nevada
Street Address Mailing Address (if different from street address) City Zip Code
Nevada
City Zip Code
5. Street Address of Principal Office: (see
instructions) Street Address City State Zip Code
6. Name and Business Address of each Managing Partner in this State: (attach
additional page if more than 2)
1)
Name
Nevada
Business Address City Zip Code
2)
Name
Nevada
Business Address City Zip Code
7. Name and Signature of General Partner Making Statement:
The partnership, hereafter, will be a registered limited-liability partnership:
X
Name Authorized Signature
X
Name Authorized Signature
8. Certificate of Acceptance of Appointment of Registered Agent:
I hereby accept appointment as Registered Agent for the above named Entity.
X
Authorized Signature of Registered Agent or On Behalf of Registered Agent Entity Date
This form must be accompanied by appropriate fees.
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Nevada Secretary of State NRS 87 FLLP Registration Revised: 3-20-09