ANNUAL REPORT FOR LIMITED PARTNERSHIP/ LIMITED LIABILITY LIMITED PARTNERSHIP (PLEASE TYPE OR PRINT CLEARLY IN INK) Report Due by May 1st Domestic Foreign 1. The name of the Limited Partnership or Limited Liability Limited Partnership is: ____________________________________________________________________________________________________ 2. Designated Office Address Information: a. Street Address: ____________________________________________________________________________________ b. Mailing Address if different: __________________________________________________________________________ 3. a. Agent for service of process: Name: _________________________________________________________________ b. Street Address: ____________________________________________________________________________________ c. Mailing Address: ___________________________________________________________________________________ 4. If a Domestic Limited Partnership/ Limited Liability Limited Partnership: a. Street address of principal office______________________________________________________________________ b. Mailing address of principal office_____________________________________________________________________ 5. If a Foreign Limited Partnership/ Limited Liability Limited Partnership: a. Jurisdiction under which entity was formed:____________________________________________________________ b. Fictitious name or alternate name used in Arkansas: ___________________________________________________ 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 _______________, __________________. ______________________________________________ Printed Name and Title of Authorized Officer $15.00 Filing Fee payable to Arkansas Secretary of State ______________________________________________ Signature and Title of Authorized Officer LP-AR Rev. 08/07 American LegalNet, Inc. www.FormsWorkflow.com