Free AnnualRepotLLP - 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

Instructions: File with the Secretary of State's Business Services Division, State Capitol, Little Rock, Arkansas 72201-1094 with payment of fees, by April 1 of each year. A copy will be returned to the partnership at the listed address. PLEASE TYPE OR CLEARLY PRINT IN INK

ANNUAL REPORT LIMITED LIABILITY PARTNERSHIP
The undersigned, pursuant to Act 1518 of 1999, sets forth the following:

Name and state or jurisdiction under whose laws Limited Liability Partnership is formed:

Current Street Address:
(Chief Executive Office)

Current Street Address:
(Office in this State, if different)

Current Agent for Service of Process:

Name

Street Address

Statement of Qualification Date:

E-mail Address:

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 (Type or Print)

Signature of Partner

Filing Fee $15.00 payable to Arkansas Secretary of State

Rev. 4/06