Free PDF - Arkansas

APPLICATION FOR QUALIFICATION OF LIMITED LIABILITY PARTNERSHIP
(Under Act 1518 of 1999) (PLEASE TYPE OR PRINT CLEARLY IN INK)

1. The name of the limited liability partnership is: ________________________________________________________ 2a. The street address of the chief executive office of the limited liability partnership is: ___________________________ _____________________________________________________________________________________________ 2b. The street address of an office in Arkansas, if different from the chief executive office: _________________________ _____________________________________________________________________________________________ 3. If there is no office in Arkansas, the name and street address of the agent for service of process for the limited liability partnership who is also an Arkansas resident or has authority to do business in Arkansas is: ____________________ _____________________________________________________________________________________________ 4. Statement of intent to be a limited liability partnership: __________________________________________________ _____________________________________________________________________________________________ 5. Deferred effective date, if any: _____________________________________________________________________ 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.

Authorizing Officers ________________________________________________________________________________
(Type or Print)

Authorized Signature ____________________________________
(Partner)

______________________________________
(Date)

Authorized Signature ____________________________________
(Partner)

______________________________________
(Date)

$50.00 Filing Fee payable to Arkansas Secretary of State

Rev. 3/08

Annual Report ­ Contact Information
LIMITED LIABILITY PARTNERSHIP
PLEASE TYPE OR PRINT CLEARLY IN INK

JURISDICTION (SELECT ONE)

DOMESTIC FOREIGN
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 April 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)

Rev. 03/08