ROSS MILLER Secretary of State 204 North Carson Street, Suite 4 Carson City, Nevada 89701-4520 (775) 684 5708 Website: www.nvsos.gov
Application for Registration of Foreign Limited-Liability Limited Partnership
(PURSUANT TO NRS CHAPTER 87A)
USE BLACK INK ONLY - DO NOT HIGHLIGHT ABOVE SPACE IS FOR OFFICE USE ONLY
1. Name of Foreign Limited-Liability Limited Partnership: 2. Name Being The name entity proposes to register and transact business in Nevada: Registered with Nevada: 3. Date and State or Country of Date Formed State or Country where Authorized Formation: 4. Registered Agent for Service of Process: (check
only one box)
Commercial Registered Agent:
Noncommercial Registered Agent (name and address below)
Office or Position with Entity
(name and address below)
Name of Noncommercial Registered Agent OR Name of Title of Office or Other Position with Entity
Street Address Mailing Address (if different from street address) City Zip Code
City Zip Code This Foreign Limited- Liability Limited Partnership hereby undertakes to keep a list of the names and addresses of the limited partners and their capital contributions at this office until its registration in Nevada is canceled or withdrawn. In the event the above-designated Agent for Service of Process resigns and is not replaced or the agent's authority has been revoked or the agent cannot be found or served with exercise of reasonable diligence, then the Secretary of State is hereby appointed as the Agent for Service of Process.
5. Street Address of Address of principal office or office required to be maintained in the domicile state by the laws of that state: Principal Office:
Street Address City State Zip Code
6. Name and Business Address of each General Partner: (attach
additional page if more than 2)
Name Business Address City State Zip Code
Name Business Address City State Zip Code I hereby declare and affirm under the penalties of perjury that I am a General Partner in the above-named Foreign Limited Partnership and that the execution of this application for registration is my act and deed and that the facts stated herein are true.
7. Name and Signature of General Partner Making Statement: 8. Certificate of Acceptance of Appointment of Registered Agent:
I hereby accept appointment as Registered Agent for the above named Entity.
Authorized Signature of Registered Agent or On Behalf of Registered Agent Entity Date
This form must be accompanied by appropriate fees.
Nevada Secretary of State NRS 87A FLLLP Registration Revised: 4-15-09