LIMITED PARTNERSHIP QUESTIONNAIRE FORM INSTRUCTIONS Authority to do Business in Oregon x Your Limited Partnership must be approved by the Oregon Secretary of State’s office to do business in Oregon. List Partners x x x x x List all General Partners. If a legal entity, like a corporation or limited liability company (LLC), owns or controls 10% or more of a General Partner that legal entity must also complete its own separate questionnaire. If there are 20 or more limited partners, only those owning 10% or more of the limited partnership need to be listed. You may include the information on a separate sheet. List the percentage of ownership held by each limited partner. When one or more General Partner is a legal entity, including a flow chart to show the relationship of the legal entities will help the OLCC to process your application quickly. Server Education Designee x If you are applying for a liquor license that allows customers to drink alcohol at the business you must list a person to take an OLCC-approved Alcohol Server Education class for the corporation. This person must have the authority to set standards and policies for alcohol servers at your business. Officer’s Signature x The form must be signed by a General Partner listed on this form. LP Questionnaire Instructions (08/11) OREGON LIQUOR CONTROL COMMISSION LIMITED PARTNERSHIP QUESTIONNAIRE Please Print or Type Partnership Name:__________________________________________ Year Filed:________________ Trade Name (dba):___________________________________________________________________ Business Location Address:____________________________________________________________ City:_____________________________________________________ ZIP Code:________________ List Partners: Indicate if General Partner or Limited Partner: 1. ___________________________________ _____________________________________ 2. ____________________________________ _____________________________________ 3. ____________________________________ _____________________________________ 4. ____________________________________ _____________________________________ 5. ____________________________________ _____________________________________ 6. ____________________________________ _____________________________________ (Note: If any partner is another legal entity, that entity must also complete an LLC, Limited Partnership or Corporation Questionnaire.) Server Education Designee:_________________________________ DOB:____________________ I understand that if my answers are not true and complete, the OLCC may deny my license application. Partner Signature:_____________________________________________ Date:________________ (name) (title) 1-800-452-OLCC (6522) www.oregon.gov/olcc (rev. 08/11)