Free Statement of Qualification for Conversion - Arizona

Ken Bennett Secretary of State Limited Partnerships 1700 West Washington 7th Fl Phoenix, Arizona 85007 Make Check Payable to: Secretary of State Fee: $10.00 Plus $3.00 per page Plus $3.00 Statement of Qualification to be an LLP SUBMIT IN DUPLICATE with self-addressed, stamped envelope.

Secretary of State Use:

All correspondence regarding this filing will be sent to the principal address stated below. CERTIFICATE OF LIMITED PARTNERSHIP AND STATEMENT OF QUALIFICATION TO BE A LIMITED LIABILITY PARTNERSHIP. A.R.S. §29-308C To be filed when partnership is not on record with the Secretary of State

Name of the partnership (end with "Limited Partnership", "L.P." or "General Partnership")

County Recorder File number

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

Street address of chief executive office in Arizona (PO Box and c/o are not acceptable)

City

Zip

Name of the service of process agent

Phone

Arizona address of agent (PO Box and c/o are not acceptable)

City

Arizona

Zip

Statement of Status for which this application is made: _______LLP 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) 19