DO NOT STAPLE Form LP 902 September 2009 Filing Fee: $150 Submit in duplicate. Payment must be made by certified check, cashier’s check, Illinois attorney’s check, Illinois C.P .A.’s check or money order, payable to Secretary of State. Please do not send cash. Secretary of State Department of Business Services Limited Liability Division 501 S. Second St., Rm. 357 Springfield, IL 62756 217-785-8960 www.cyberdriveillinois.com Correspondence regarding this filing will be sent to the registered agent of the Limited Partnership unless a selfaddressed, stamped envelope is included. Illinois Secretary of State Department of Business Services Application for Certificate of Authority (Foreign Limited Partnership or LLLP) Please type or print clearly. 1. Limited Partnership Name: __________________________________________________________________________ 1. Alternate Assumed Name: __________________________________________________________________________ (By electing this Alternate Name, the Limited Partnership hereby agrees not to use its Company Name in the transaction of business in Illinois. Form LP 108 is attached.) 3. Address of designated office at which records required by Section 111 will be kept: ____________________________________________________________________________________________________ Street Address (P .O. Box alone is unacceptable.) ____________________________________________________________________________________________________ City, State, ZIP County , 4. Federal Employer Identification Number (F .E.I.N.): __________________________________________________ 5. Limited Partnership formed in jurisdiction of: ____________________ on:_______________ , and validly exists there as a Limited Partnership on this file date. (Attach current Certificate of Existence from jurisdiction.) 6. Registered Agent: ______________________________________________________________________________ Name Registered Office: ______________________________________________________________________________ Street Address (P .O. Box alone is unacceptable.) ______________________________________________________________________________________________ City (must be in Illinois) 7. ZIP County The undersigned agree(s) to keep the records detailed in item 2 until the Limited Partnership’s registration in this state is cancelled. ♻ Printed on recycled paper. Printed by authority of the State of Illinois. September 2009 – 200 – C LP-5.13 American LegalNet, Inc. www.FormsWorkFlow.com Form LP 902 8. This is a Foreign Limited Liability Limited Partnership: ❏ Yes ❏ No 9. The Illinois Secretary of State is hereby appointed the agent of the Limited Partnership for service of process under the circumstances set forth in Section 907(e) of the ULPA. 10. Purpose(s) for which the Limited Partnership was organized and the purpose(s) that it proposes to conduct in the transaction of business in Illinois: Names and Business Addresses of all General Partners. If an entity that is not registered or qualified in Illinois, submit original Certificate of Good Standing dated within the last 30 days. 1. ____________________________________________ 2. ________________________________________ General Partner Name ____________________________________________ ________________________________________ Street Address Street Address ____________________________________________ ________________________________________ City, State, ZIP County , 3. General Partner Name City, State, ZIP County , ____________________________________________ 4. ________________________________________ General Partner Name General Partner Name ____________________________________________ ________________________________________ Street Address Street Address ____________________________________________ ________________________________________ City, State, ZIP County , City, State, ZIP County , The undersigned affirms, under penalties of perjury, that the facts stated herein are true. The original application to transact business must be signed by at least one General Partner. ________________________________________________ Signature ________________________________________ Name and Title (type or print) __________________________________________________________________________________________ General Partner Name if a corporation or other entity (must be in good standing) Signatures must be in black ink on an original document. Carbon copy, photocopy or rubber stamp signatures may only be used on conformed copies. ♻ Printed on recycled paper. Printed by authority of the State of Illinois. September 2009 – 200 – C LP-5.13 American LegalNet, Inc. www.FormsWorkFlow.com