Document processing fee If document is filed on paper $125.00 If document is filed electronically $ 50.00 Fees & forms/cover sheets are subject to change. To file electronically, access instructions for this form/cover sheet and other information or print copies of filed documents, visit www.sos.state.co.us and select Business Center. Paper documents must be typewritten or machine printed. ABOVE SPACE FOR OFFICE USE ONLY Combined Certificate of Limited Partnership and Statement of Registration filed pursuant to §7-90-301, et seq. and §7-60-144 or §7-64-1002, §7-62-201 of the Colorado Revised Statutes (C.R.S) 1. Entity name: ______________________________________________________ (The entity name of a limited partnership, whether or not it is a limited liability limited partnership, shall contain the term or abbreviation "limited partnership", "limited", "company", "l.p.", "lp", "ltd.", or "co." and, if it is a limited liability limited partnership, may contain the term or abbreviation "limited liability limited partnership", "registered limited liability limited partnership", "limited", "l.l.l.p.", "lllp", "r.l.l.l.p.", "rlllp", or "ltd." 2. Use of Restricted Words (if any of these terms are contained in an entity name, true name of an entity, trade name or trademark stated in this document, mark the applicable box): 3. Principal office street address: “bank” or “trust” or any derivative thereof “credit union” “savings and loan” “insurance”, “casualty”, “mutual”, or “surety” ______________________________________________________ (Street name and number) ______________________________________________________ __________________________ ____ ____________________ (City) (State) (Postal/Zip Code) _______________________ (Province – if applicable) 4. Principal office mailing address: (if different from above) ______________ (Country – if not US) ______________________________________________________ (Street name and number or Post Office Box information) ______________________________________________________ __________________________ ____ ____________________ (City) (State) (Postal/Zip Code) _______________________ (Province – if applicable) 5. Registered agent: (if an individual): ______________ (Country – if not US) ____________________ ______________ ______________ _____ (Last) OR (if a business organization): (First) (Middle) (Suffix) ______________________________________________________ 6. The person appointed as registered agent in the document has consented to being so appointed. 7. Registered agent street address: ______________________________________________________ (Street name and number) ______________________________________________________ COMBO Page 1 of 3 Rev. 01/01/2008 American LegalNet, Inc. www.FormsWorkflow.com __________________________ (City) 8. Registered agent mailing address: (if different from above) CO (State) ____________________ (Postal/Zip Code) ______________________________________________________ (Street name and number or Post Office Box information) ______________________________________________________ __________________________ ____ ____________________ (City) (State) (Postal/Zip Code) _______________________ ______________ (Province – if applicable) (Country – if not US) 9. True name: (if different from the Entity name) 10. Name(s) and address(es) of (if an individual) general partner(s): ______________________________________________________ ____________________ ______________ ______________ _____ (Last) OR (if a business organization) (First) (Middle) (Suffix) ______________________________________________________ ______________________________________________________ (Street name and number or Post Office Box information) ______________________________________________________ __________________________ ____ ____________________ (City) (State) (Postal/Zip Code) _______________________ ______________ (Province – if applicable) (Country – if not US) (if an individual) ____________________ ______________ ______________ _____ (Last) OR (if a business organization) (First) (Middle) (Suffix) ______________________________________________________ ______________________________________________________ (Street name and number or Post Office Box information) ______________________________________________________ __________________________ ____ ____________________ (City) (State) (Postal/Zip Code) _______________________ (Province – if applicable) (if an individual) ______________ (Country – if not US) ____________________ ______________ ______________ _____ (Last) OR (if a business organization) (First) (Middle) (Suffix) ______________________________________________________ ______________________________________________________ (Street name and number or Post Office Box information) ______________________________________________________ __________________________ ____ ____________________ (City) (State) _______________________ (Province – if applicable) (Country – if not US) (If more than three persons forming the limited liability limited partnership, mark this box names and addresses of all persons forming the limited liability limited partnership.) COMBO (Postal/Zip Code) ______________ Page 2 of 3 and include an attachment stating the Rev. 01/01/2008 American LegalNet, Inc. www.FormsWorkflow.com 11. There are at least two partners in this partnership and at least one is a limited partner. 12. (Optional) Delayed effective date: ______________________ (mm/dd/yyyy) 13. Additional information may be included pursuant to §7-62-201, C.R.S. and other organic statutes such as and include an attachment stating the additional title 12, C.R.S. If applicable, mark this box information. Notice: Causing this document to be delivered to the secretary of state for filing shall constitute the affirmation or acknowledgment of each individual causing such delivery, under penalties of perjury, that the document is the individual's act and deed, or that the individual in good faith believes the document is the act and deed of the person on whose behalf the individual is causing the document to be delivered for filing, taken in conformity with the requirements of part 3 of article 90 of title 7, C.R.S., the constituent documents, and the organic statutes, and that the individual in good faith believes the facts stated in the document are true and the document complies with the requirements of that Part, the constituent documents, and the organic statutes. This perjury notice applies to each individual who causes this document to be delivered to the secretary of state, whether or not such individual is named in the document as one who has caused it to be delivered. 14. Name(s) and address(es) of the individual(s) causing the document to be delivered for filing: ____________________ ______________ ______________ _____ (Last) (First) (Middle) (Suffix) ______________________________________________________ (Street name and number or Post Office Box information) ______________________________________________________ __________________________ ____ ____________________ (City) (State) _______________________ (Province – if applicable) (Postal/Zip Code) ______________ (Country – if not US) (The document need not state the true name and address of more than one individual. However, if you wish to state the name and address of any additional individuals causing the document to be delivered for filing, mark this box name and address of such individuals.) and include an attachment stating the Disclaimer: This form, and any related instructions, are not intended to provide legal, business or tax advice, and are offered as a public service without representation or warranty. While this form is believed to satisfy minimum legal requirements as of its revision date, compliance with applicable law, as the same may be amended from time to time, remains the responsibility of the user of this form. Questions should be addressed to the user’s attorney. COMBO Page 3 of 3 Rev. 01/01/2008 American LegalNet, Inc. www.FormsWorkflow.com