This Box For Office Use Only Page 1 of 2 Limited Partnership See attached detailed instructions □ Filing Fee $60.00 (Annual) □ Filing Fee with Expedited Service $110.00 UBI Number: LIMITED PARTNERSHIP ANNUAL REPORT Chapter 25.10 RCW SECTION 1 NAME OF LIMITED PARTNERSHIP: (as currently recorded with the Office of the Secretary of State) SECTION 2 NAME AND ADDRESS OF THE WASHINGTON STATE REGISTERED AGENT: Name: ____________________________________________________________________________ Physical Location Address (required): ______________________________________________________________ City _____________________________________________ WA Zip Code ____________ Mailing or Postal Address (optional): _______________________________________________________________ City _____________________________________________ WA Zip Code _____________ (REQUIRED OF NEW APPOINTMENTS ONLY) CONSENT TO SERVE AS REGISTERED AGENT: I consent to serve as Registered Agent in the State of Washington for the above named limited partnership. I understand it will be my responsibility to accept Service of Process on behalf of the limited partnership; to forward mail to the limited partnership; and to immediately notify the Office of the Secretary of State if I resign or change the Registered Office Address. X___________________________________________________________________________ Signature of New Registered Agent Printed Name Limited Partnership – Annual Report Washington Secretary of State Date Revised 06/10 American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 SECTION 3 ADDRESS OF THE PRINCIPAL PLACE OF BUSINESS IN WASHINGTON STATE: Street Address______________________________City___ __________State WA Zip__________ PO Box____________________________________City___ __________State WA Zip__________ SECTION 4 ADDRESS OF THE PRINCIPAL OFFICE IN ORIGINATING STATE/COUNTRY: (Foreign Entities) Street Address______________________________City___ __________State Zip__________ PO Box____________________________________City___ __________State Zip__________ SECTION 5 (Required all) OWNERSHIP OF REAL PROPERTY: Does your company own land, buildings, or other real property in Washington? Yes □ No □ CONTROLLING INTEREST TRANSFER: A controlling interest transfer is when 50 % or more of the ownership in an entity changes hands as defined under RCW 82.45.010 (2). Has there been a transfer of stock, other financial interest change, or an option agreement exercised during the past 12 months that resulted in a transfer of controlling interest? Yes □ No □ Has an option agreement been executed in the last 12 months allowing for the future purchase or acquisition of the entity, that, if exercised would result in a transfer of controlling interest? Yes □ No □ If your company owns land, buildings or other real property in Washington State, you must contact the Washington State Department of Revenue to report a transfer of controlling interest. Failure to report the transfer is subject to the penalty provisions of RCW 82.45.220. For more information on these questions please call the Department of Revenue at (360) 570-3265 and choose option 1, or visit the website at www.dor.wa.gov SECTION 6 AUTHORIZED SIGNATURE: (see instructions page) This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct. X_______________________________________________________________________________________ Signature Printed Name Date Phone Limited Partnership – Annual Report Washington Secretary of State Revised 06/10 American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS – LIMITED PARTNERSHIP ANNUAL REPORT Please complete all sections of the Limited Partnership Annual Report. USE DARK INK ONLY. For an electronic, fillable version of this form, please visit our website at www.sos.wa.gov/corps Section 1 Indicate the Limited Partnership (LP) name as it currently is recorded with the Office of the Secretary of State. Section 2 All Limited Partnerships must have a registered agent in Washington State. The registered agent may be an individual who is a resident of Washington State, or a business entity registered with the Secretary of State’s office. The agent must have a physical address in Washington State where they can be located. An alternative mailing address may be used in addition to the physical address. The mailing address must also be in Washington State. The registered agent must print their name and sign the consent to serve as registered agent. Section 2 is only required when there has been a new appointment of a registered agent. Section 3 Enter the address of the Limited Partnership’s principal place of business were records are maintained. Section 4 This section is for Foreign Entities only. Foreign Limited Partnerships must provide the principal office address for the state or country that the Limited Partnership was originally formed. Section 5 This is a required section. Answer Yes or No to the questions in section 5. For more information please review RCW 82.45.220. Section 6 Section 5 requires a signature by at least one General Partner or by a person authorized by the Limited Partnership as defined in RCW 25.10.231. Additional Information: UBI Number: Please enter your existing Unified Business Identifier (UBI Number) as currently recorded with the Office of the Secretary of State, in the box in the upper right hand corner of page 1. Changes in General Partners – Any changes in general partners require a Limited Partnership Amendment to be filed. For amendment forms contact our office at 360-725-0377. FEES: The filing fee for Limited Partnership Annual Report is $60.00 for a one year period. Make the checks or money orders payable to “Secretary of State”. If expedited service is requested then include an additional $50.00 and write “EXPEDITE” on the outside of the envelope. (ALL fees are non-refundable) Mail completed forms and payment to: Secretary of State Corporation Division 801 Capitol Way S PO Box 40234 Olympia WA 98504-0234 If you have questions, need assistance, or would like to provide feedback please visit the Corporations Division website at www.sos.wa.gov/corps or call 360-725-0377. Limited Partnership – Annual Report Washington Secretary of State Print Form Revised 06/10 American LegalNet, Inc. www.FormsWorkFlow.com