Statement Of Registration Or Renewal Of Kll Limited Liability Partnership Form

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C
K
OMMONWEALTH OF
ENTUCKY
A
L
G
, S
S
LISON
UNDERGAN
RIMES
ECRETARY OF
TATE
_________________________________________________________________________________________________________________________
Division of
Business Filings
Statement of Registration or Renewal of
KLL
Business Filings
Limited Liability Partnership
PO Box 718
Frankfort, KY 40602
(Domestic Partnership)
(502) 564-3490
Please note: This filing is applicable to filings wishing to be governed under
KRS 362.555.
__________________________________________________________________________________________
Pursuant to the provisions of KRS 14A and KRS 362, the undersigned applies for registration or renewal and, for that
purpose, submits the following statement:
1. The activity request is:
Registration
Renewal
2. The name of the registered limited liability partnership is __________________________________________________.
3. The principal office address is:
_____________________________________________ _________________________ ____________ _____________.
Street Address or Post Office Box Numbers
City
State
Zip
4. The number of partner(s) is ________________________________________________________________________.
5. The names of the partner(s) are:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
6. The nature of the business of the partnership is:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
________________________________________________________________________________________________.
7. This application 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)
I declare under penalty of perjury under the laws of Kentucky that the forgoing is true and correct.
________________________________ _________________________ ___________________ __________________
Signature of Partner
Printed Name
Title
Date
(01/12)

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