Free 635_2003.p65 - Iowa

MICHAEL A. MAURO Secretary of State State of Iowa

STATEMENT OF FOREIGN QUALIFICATION OF FOREIGN LIMITED LIABILITY PARTNERSHIP

Pursuant to section 486A.1102 of the Iowa Uniform Partnership Act, the undersigned foreign limited liability partnership files its Statement of Foreign Qualification as follows: 1. The Name of the foreign limited liability partnership*: _____________________________________________________ .
*Note: The name must end with "Registered Limited Liability Partnership", "Limited Liability Partnership", or the abbreviation "R.L.L.P.", "L.L.P.", "RLLP", or "LLP".

2. (a) The street address of the partnership's chief executive office:

_____________________________________________________________________________________ .
street city state zip

(b) The street address of an office in this state, if any. [If different than #2]:

_____________________________________________________________________________________ .
street city state zip

[If there is no office of the partnership in Iowa, compete #3] 3. Registered Agent and Registered Office (a) The name of the registered agent for service of process in Iowa:**

_____________________________________________________________________________________ .
**Agent must be an individual who is a resident of Iowa or other person authorized to do business in Iowa.

(b) The street address of the agent for service of process:

_____________________________________________________________________________________ .
4. The deferred effective date***(and time) if any, is _______________________, ______, _________; (__________)(______).
month day year time am/pm ***A delayed effective date shall not be later than the nintieth day after the date filed.

5. Signature by authorized partner(s): The statement shall be executed by two or more partners authorized under chapter 486A, the partnership agreement, or other law. If the partnership is in the hands of a receiver,trustee, or other court appointed fiduciary, the statement must be signed by such receiver, trustee, or fiduciary.

__________________________________ / ____________________________ / ______________________
signature name capacity in which signing

__________________________________ / ____________________________ / ______________________
signature name capacity in which signing

__________________________________ / ____________________________ / ______________________
signature name capacity in which signing

NOTES: 1. The filing fee is $100.00. Make checks payable to SECRETARY OF STATE 2. The information you provide will be open to public inspection under Iowa Code chapter 22.11. SECRETARY OF STATE Business Services Division Lucas Building, 1st Floor Des Moines, IA 50319 Phone: (515) 281-5204 FAX: (515) 281-7142 or (515) 242-5953
635_2003 Rev. 04/07

Website: www.sos.state.ia.us