Free Annual Report - Illinois

DO NOT STAPLE

Print
Form LP 210 January 2005
Filing Fee: $100 Submit in Duplicate Payment must be made by certified check, cashier's check, Illinois attorney's check, Illinois C.P .A.'s check or money order, payable to Secretary of State. Please do not send cash. Filing deadline is prior to:

Reset

Date (month, day, year)

Secretary of State Department of Business Services Limited Liability Division 501 S. Second St., Rm. 357 Springfield, IL 62756 217-785-8960 www.cyberdriveillinois.com Correspondence regarding this filing will be sent to the registered agent of the Limited Partnership unless a self-addressed, stamped envelope is included.

Illinois Secretary of State Department of Business Services
Annual Report (Illinois or Foreign Limited Partnership or LLLP)

Please type or print clearly. 1. Limited Partnership Name: 2. Address of office where records required by Section 111 (Illinois) or Section 902 (Foreign) are kept:
Street Address (P .O. Box alone is unacceptable.) City, State, ZIP County ,

3. File number assigned by Secretary of State: 4. Federal Employer Identification Number (F.E.I.N.): 5. Assumed Name, if any: 6. Registered Agent: Registered Office:
Street Address (P .O. Box alone is unacceptable.) City, State, ZIP County ,

7. State or Jurisdiction of Organization:

Do not make changes on this form. If changes are necessary, Amendment Form LP 202 (Illinois) or LP 902(A) (Foreign) and a $50 fee are required.

Printed by authority of the State of Illinois. CLP 12.9 -- January 2008 -- 200

Form LP 210
I affirm that any entity serving as a General Partner for this Limited Partnership is in good standing in its home state. The undersigned affirms, under penalties of perjury, that the facts stated herein are true. The Annual Report must be signed by a General Partner.

Signature

Name & Title (type or print)

General Partner Name if a corporation or other entity (must be in good standing)

Signatures must be in black ink on an original document.

Printed by authority of the State of Illinois. CLP 12.9 -- January 2008 -- 200