APPLICATION FOR REGISTRATION OF LIMITED LIABILITY PARTNERSHIP
(PLEASE TYPE OR PRINT CLEARLY IN INK)
1. The name of the limited liability partnership is: ________________________________________________________ _____________________________________________________________________________________________ 2a. The address of the principal office of the limited liability partnership is: _____________________________________ _____________________________________________________________________________________________ 2b. The address of an office in Arkansas, if different from the principal office: ___________________________________ _____________________________________________________________________________________________ 3. The name and address of the agent for service of process for the limited liability partnership 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)
Authorizing Signature: ______________________________________________________________________________
Authorized Signature: _______________________________________________________________________________
$50.00 Filing Fee payable to Arkansas Secretary of State
Annual Report Contact Information
LIMITED LIABILITY PARTNERSHIP
PLEASE TYPE OR PRINT CLEARLY IN INK
JURISDICTION (SELECT ONE)
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
Street Address or Post Office Box Number
City, State Zip
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 _____________, __________________.
Authorized Officer (Type or Print)