Form Lllp-02 - Certificate Of Limited Liability Limited Partnership

Form Lllp-02 - Certificate Of Limited Liability Limited Partnership - 2008 Page 2

Arkansas Secretary of State

ark

artin

State Capitol • Little Rock, Arkansas 72201-1094

501-682-3409 •

Business & Commercial Services, 250 Victory Building, 1401 W. Capitol, Little Rock

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 filing.

________________________________________________ _____________________________________________

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

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)

$50.00 Filling Fee payable to Arkansas Secretary of State

LLLP-02 Rev. 03/08

Form Lllp-02 - Certificate Of Limited Liability Limited Partnership - 2008 Page 2