Kentucky LLP Amendment Form
In the case of a foreign limited liability partnership wanting to make modifications to documents that have already been submitted to the Secretary of State’s office in the State of Kentucky, the following form has to be completed and submitted.
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(01/12 ) C OMMONWEALTH OF K ENTUCKY ALISON LUNDERGAN G RIMES , SECRETARY OF STATE ____________________________________________________________________________________________ _____________________________ Division of Business Filings Business Filings PO Box 718 Fra nkfort, KY 40602 (502) 564 -3490 www.sos.ky.gov ________________________________________________________ __________________________________ Pursuant to the provisions of KRS 14A and KRS 362, the undersigned hereby amends the registration on behalf of the limited liability partnership named below and, for that purpose, submits the following statements: 1. The name of the limited liability partnership : _______ _____________________________________________________________________________ _____ ______ (Name must be identical to the name of record with the Office of the Secretary of State) 2. The statement of qualification is amended as follows . ___ ____________________________________________________________________________________________ ____ ___ ________________________________________________________________________________________ ____ ___________________________________________________________________________________________ 3. This amendment will be effective upon filing, unless a delayed effective date and/or time is provided. The effective date or the delayed effective date cannot be prior to the date the application is filed. The date and/or time is ______________. (Delayed effective date and/or time) We declare under penalty of perjury under the laws of the state of Kentucky that the foregoing is true and correct. __________________________________________________________________ _________________________________ _____________ _________ Signature of Partner Printed Name Title Date _________________________________________________________________________________________________________________________ Signature of Partner Printed Name Title Date Amendment to the Statement of Qualification SQA (01/12 ) FILING INSTRUCTIONS AMENDMENT TO STATEMENT OF QUALIFICATION NAME State the exact name of the partnership as registered with the Office of the Secretary of State. AMENDMENT State the text of amendment. WHO MAY SIGN The document must be signed by two par tners . PRINCIPAL OFFICE ADDRESS The principal office is the office (in or out of this state) so designated in writing with the Office of the Secretary of Sta te where the principal designated office of the business entity is located. This address is wher e all correspondence from the Office of the Secretary of State (S ee Document Delivery) will be mailed . EFFECTIVE DATE AND TIME The document will be effective on the date and time of filing, unless a delayed effective date and/or time is specified. The effective date or the delayed effective date cannot be prior to the date the application is filed. A delayed effective date may not be later than the 90 th day after the date of filing. NUMBER OF COPIES If filing via mail or in person, one exact or confo rmed copy of the document with the filing fee must be submitted to the address below. To make a copy of the filing for delivery to the local county clerk’s office, visit www.sos.ky.gov and print a copy from the organization search tool. DOCUMENT DELIVERY A file stamped postcard will be sent to the principal office address. If the applicant wishes for the document to be sent to an alternate address other than the principal office, a request must be submitted in writing affirming that request. Alternate a ddress requests must be submitted with each document filed with the Office of the Secretary of State. FILING FEE The filing fee is $40.00. Checks should be made payable to the “Kentucky State Treasurer .” MAILING ADDRESS OFFICE LOCATION Alison Lu ndergan Grimes Room 154, Capitol Building Secretary of State 700 Capital Avenue P. O. Box 718 Frankfort, KY 40601 Frankfort, KY 40602 -0718 Hours of Operation: 8:00 AM -4:30 PM ET CONTACT INFORMATION If you have any questions or need ad ditional forms, please feel free to visit our website at www.sos.ky.gov or call (502) 564 -3490.
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