Free Kentucky Secretary of State - Kentucky

Kentucky Secretary of State TREY GRAYSON
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Division of Corporations BUSINESS FILINGS P.O. Box 718 Frankfort, KY 40602 (502) 564-2848 http://www.sos.ky.gov/

Statement of Foreign Qualification

FNL

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1. Name of the foreign limited liability partnership: _______________________________________________ 2. The name to be used in Kentucky if real name is unavailable: ____________________________________ 3. The street address of the chief executive office of the partnership (address must be a street address, not a post office box): _______________________________________________________________________ 4. The address of any partnership office in Kentucky, if there is one: _____________________________________________________________________________________ 5. The street address of the Partnership's initial registered office and name of its registered agent at that office is:____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________
(Must be a Kentucky street address and a registered agent at that address)

6. The state or country of formation: __________________________________________________________

We declare under penalty of perjury under the laws of Kentucky that the foregoing is true and correct. Executed by two partners on: _________________________________________________. (Day/Month/Year) __________________________________________ (Signature) __________________________________________ (Type or Print Name) __________________________________________ (Signature) __________________________________________ (Type or Print Name)

I, ______________________________________, consent to serve as the registered agent on behalf of the foreign limited partnership. ____________________________________ (Registered Agent Signature) ____________________________________ (Type or Print Name) Instructions: Submit this form with one (1) exact or conformed copy. The filing fee is $90.00. Please make check payable to the "Kentucky State Treasurer". All information must be completed or this document will not be accepted for filing. The name of the limited liability partnership must end with the words "R.L.L.P.", "L.L.P.", " RLLP", "LLP", "Registered Limited Liability Partnership" or "Limited Liability Partnership. FNL (01/2008)