Form Upa-1102 - Illinois Uniform Partnership Act 2010
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FILE #:
Illinois
FORM UP -1102
Uniform Partnership ct
pril 2010
Statement of Foreign Qualification
This space for use by
Submit in duplicate. Please type or print clearly.
Secretary of State.
Payment must be made by certified check, cashier’s check,
Secretary of State
money order, Illinois attorney’s check or Illinois C.P. .’s check.
Department of Business Services
Limited Liability Division
This space for use by Secretary of State.
501 S. Second St., Rm. 357
Springfield, IL 62756
Date:
217-524-8008
Filing Fee: $500
pproved:
Federal Employer Identification Number (F.E.I.N.) ________________________________________________________________
(Required to File)
1. Partnership Name: ________________________________________________________________________
(Name must end with “Registered Limited Liability Partnership,” “Limited Liability Partnership,” “R.L.L.P.” or “L.L.P.” or “RLLP” or “LLP.”)
2. State of Jurisdiction: ______________________________________________________________________
3. Address of Chief Executive Office:
______________________________________________________________________________________
Street Address (Must be a street address. P.O. Box alone is unacceptable.)
______________________________________________________________________________________
City, State, ZIP
4. If different from Address in #3, Street Address of an Office in this State, if any:
______________________________________________________________________________________
______________________________________________________________________________________
5. Registered Agent’s Name and Registered Office Address: (must be an Illinois resident or company)
Registered Agent: ________________________________________________________________________
First Name
Middle Initial
Last Name
Registered Office: ________________________________________________________________________
Number
Street
Suite #
________________________________________________________________________
City
ZIP
6. Brief Statement of the Business in which the Partnership Engages: ______________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
♻
Printed on recycled paper. Printed by authority of the State of Illinois. June 2010 – 200 – UPA 13.5
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