Free FL-02 - Arkansas

Arkansas Secre t a ry of State
Charlie Daniels
State Capitol · Little Rock, Arkansas 72201-1094 501-682-3409 · www.sos.arkansas.gov

Business & Commercial Services, 250 Victory Building, 1401 W. Capitol, Little Rock

Application for Amended Certificate of Registration by Foreign Limited Liability Company
(Please type or print)

FILL IN COMPLETELY The undersigned, pursuant to Act 1003 of 1993, sets forth the following: 1. authorized to transact business within the State of Arkansas. 2. 3. Date original Application for Registration filed in Arkansas: The Amendment to the Application for Registration is: is a Foreign Limited Liability Company

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 Officer and Title (Type or Print)

Authorized Signature

Fee: $300.00 payable to Arkansas Secretary of State

FL-02 Rev. 4/06