Arkansas LLLP Certificate Form

Through the filing of this form, an LLLP will be able to submit two attachments: (1) the list of the names of its general partners and (2) the annual report. This form must be mailed to Arkansas’ Secretary of State’s office along with the $50.00 filing fee.Download

Extracted Text for Proper Search

$50.00 Filling Fee
 payable to Arkansas Secretary of State   LLLP-02 Rev. 03/08   
 
CERTIFICATE OF LIMITED LIABILITY LIMITED PARTNERSHIP  (PLEASE TYPE OR PRINT CLEARLY IN INK) 
 
1.   The Name of the Limited Liability Limited Partnership is: 
______________________________________________________________________________________________________  The name of a limited liability limited partnership must contain the phrase “limited liability limited partnership” or the abbreviation “LLLP” or  “L.L.L.P.” and may not contain the phrase “limited partnership” or the abbreviation “L.P.” or “LP”.  
 
2.   a. Street address for the initial designated office _______________________________________________________________  
   
  b. Mailing address for the initial designated office if different  ____________________________________________________ 
 
3.   a. Name of initial agent for service of process _________________________________________________________________ 
 
  b. Street address for initial agent ____________________________________________________________________________ 
   
  c. Mailing address for initial agent ___________________________________________________________________________  
 
4.   Provide the name, street and mailing address for each general partner. 
 
________________________________________________________________________________________ _________________ 
(Name)           (Street Address) 
__________________________________________________________________  (Mailing Address) 
_____________________________________________________________________________________ ____________________ 
(Name)                (Street Address) 
__________________________________________________________________ (Mailing Address) 
_________________________________________________________________________________________________________ 
(Name)                (Street Address)  __________________________________________________________________ (Mailing Address) 
_______________________________________________________________________________ __________________________ 
(Name)                (Street Address) 
__________________________________________________________________ (Mailing Address) 
If necessary please attach any additional general partners.  
 
All general partners must sign this document . 
 
I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is 
a Class C misdemeanor and is punishable by a fine up to $ 100.00 and/or imprisonment up to 30 days. 
 
Signed  __________________________________   _________    Signed ___________________________________   __________ 
                (general partner)   
                             (Date)           (general partner)                    (Date) 
Signed  __________________________________  _________   Signed  ___________________________________  __________ 
                (general partner)   
                             (Date)           (general partner)                     (Date) 
 
 
 Arkansas Secretary of State
M	ark	M	artin	
Business & Commercial Services, 250 \bictory Buil\fing, 1401 W. Capitol, Little Rock	
State Capitol • Little Rock, Arkansas 722011094 5016823409 • www.sos.arkansas.gov

$50.00 Filling Fee
 payable to Arkansas Secretary of State   LLLP-02 Rev. 03/08   
Annual Report  – Contact Information 
PLEASE TYPE OR PRINT CLEARLY IN INK   
JURISDICTION (SELECT ONE) 
□  DOMESTIC  □FOREIGN 
  ENTITY TYPE (SELECT ONE) 
□ LIMITED PARTNERSHIP  □LIMITED LIABILITY LIMITED PARTNERSHIP 
 
In order for this entity to receive its annual reporting form, please complete and file with the Office of the Secretary of 
State at the time of fili ng. 
 
 
________________________________________________ _____________________________________________ 
Entity name as used in Arkansas           Contact Person 
 
 
________________________________________________ _____________________________________________ 
Street Address or Post Office Box Number        City, State  & Zip 
 
 
________________________________________________ _____________________________________________ 
Telephone Number            E-mail Address 
 
 
NOTE:  Annual Reports will be due on or before May 1 st
 the year following filing or qualification in this state. 
 
 
I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a 
Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days. 
 
Executed this ___________ day of _____________, __________________. 
 
 
 
 
________________________________________________ _____________________________________________ 
Signature              Authorized Officer (Type or Print) 
 
 
   Arkansas Secretary of State
M	ark	M	artin	
Business & Commercial Services, 250 \bictory Buil\fing, 1401 W. Capitol, Little Rock	
State Capitol • Little Rock, Arkansas 722011094
5016823409 • www.sos.arkansas.gov