Free $25.00 - Alaska

State of Alaska Department of Community and Economic Development Division of Banking, Securities, and Corporations CORPORATION SECTION PO Box 110808 Juneau AK 99811-0808

STATEMENT OF DENIAL
Limited Liability Partnership
Pursuant to the provisions of the Alaska Statutes, the undersigned limited liability partnership hereby files a Statement of Denial. A partner or other person named as a partner in a filed statement of partnership authority or in a list maintained by an agent under AS 32.06.303(b) may file a statement of denial stating the name of the partnership and the fact that is being denied, which may include denial of a person's authority or status as a partner. A statement of denial is a limitation on authority under AS 32.06.303 (d) and(e). 1. Name of the Limited Liability Partnership Alaska Entity #:

2. State of domicile, date of formation, and the period of duration in the state or country of domicile: State of Domicile: 3. Statement of Denial: Date of Formation: Duration:

Foreign Limited Liability Partnerships must attach a certified copy of the statement from the state of domicile. A statement filed by a partnership must be executed by at least two partners or by a partner and another person authorized in the Statement of Partnership Authority. An individual who executes a statement as, or on behalf of, a partner or other person named as a partner in a statement shall personally declare under penalty of perjury that the contents of the statement are accurate.
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A person who files a statement shall promptly send a copy of the statement to every nonfiling partner and to any other person named as a partner in the statement. Failure to send a copy of a statement to a partner or other person does not limit the effectiveness of the statement as to a person who is not a partner.

Signature of Partner or Authorized Person

Printed Name

Title

Date

If you have specific legal questions or concerns about this filing, you are strongly advised to consult an attorney or other professional to assist you. Mail the completed Statement of Denial and the $25.00 filing fee (in U.S. dollars) to: State of Alaska Corporations Section PO Box 110808 Juneau, AK 99811 For additional information or forms please visit our web site at: www.corporations.alaska.gov

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