JAY DARDENNE SECRETARY OF STATE
STATE OF LOUISIANA SECRETARY OF STATE
Commercial (225) 925-4704 (225) 922-0435 Fax Administrative Services (225) 925-4704 (225) 925-4726 Fax Uniform Commercial Code (225) 922-1193 (225) 922-0452 Fax
TRANSMITTAL INFORMATION For All Business Filings
Business Name (List exactly as it appears in documents)
Name of person filing document (evidence of filing will be mailed to this person, at address below)
Address
City
State
Zip Code
Daytime phone number
Fax number
Email address
NOTE: Louisiana Law requires all Louisiana notaries to print or type their name and notary or bar roll number on the document.
Mailing Address: P. O. Box 94125, Baton Rouge, LA * 70804-9125 Office Location: 8585 Archives Ave., Baton Rouge, LA * 70809 Web Site Address: www.sos.louisiana.gov
SS984 Rev. 10/08
Jay Dardenne Secretary of State
STATEMENT AND AFFIDAVIT OF REGISTRATION OF FOREIGN PARTNERSHIP
(R.S. 9:3422) Foreign Partnership Enclose $150.00 filing fee Make remittance payable to Secretary of State Do Not Send Cash Return to: Commercial Division P.O. Box 94125 Baton Rouge, LA 70804-9125 Phone (225) 925-4704 Web Site: www.sos.louisiana.gov ( ) Conversion
CHECK ONE:
( ) Original Filing
( ) Amendment
Current Name of Partnership:
Previous Name of Partnership:
Organized under the laws of :
State, County, Territory, Province or Commonwealth
Municipal address of principal place of business outside Louisiana
Municipal address of principal place of business in Louisiana
Name and municipal address of agent for service of process who must reside in Louisiana
Name and municipal address of at least one general partner who gives consent under R.S. 9:3424 Does the partnership intend to own immovable property in Louisiana in the partnership name? Are any of the partners to have limited liability recognized in Louisiana? ( ) Yes ( ) No The Partnership's federal tax identification number: ( ) Yes ( ) No
Before me, undersigned Notary Public in and for
State Parish/County
personally
came and appeared who after being duly sworn, did depose and say that he is a general partner in the above named partnership, that the information stated herein is true and correct and that he has the authority to certify the information in this statement.
Signature of General Partner
Notary
Date
Pursuant to R.S. 9:3422 the articles of partnership/amendment shall not be filed with the registration statement. However, by registering the partnership, the partnership agrees to furnish a true copy of its articles of partnership to the Secretary of State within thirty (30) days of his written request.
SS344 Rev. 03/08 (see instructions on back)
INSTRUCTIONS
1.
In order to enjoy the rights, privileges and juridical status of a Louisiana partnership, and in order to own immovable property in this state or to have the limited liability of any partners of a limited partnership recognized, a foreign partnership must file a statement and affidavit of Registration with the Secretary of State. This form can also be used to amend a foreign partnership's filing in this state, if the information contained in an original filing changes or was inaccurate when made. Until an (amended) registration form is filed, changes and amendments are not effective as to third persons. Please call the Internal Revenue Service at (901) 546-3920 for information on how to obtain a Partnership's Federal Tax Identification number.
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