Reset DO NOT STAPLE FILE #: FORM Illinois UPA-1003-(F) Uniform Partnership Act April 2010 Renewal Statement of Foreign Limited Liability Partnership This space for use by Secretary of State Submit in duplicate. Please type or print clearly. Secretary of State. Department of Business Services Limited Liability Division Payment must be made by certified check, cashier’s check, money order, Illinois attorney’s check or Illinois C.P.A.’s check. 501 S. Second St., Rm. 357 Springfield, IL 62756 This space for use by Secretary of State. 217-524-8008 Date: www.ilsos.gov Filing Fee: $300 Approved: THIS RENEWAL STATEMENT IS EFFECTIVE FOR ONE YEAR. LLP STATUS WILL EXPIRE IF THIS STATEMENT IS NOT FILED WITHIN 60 DAYS PRIOR TO THE ANNIVERSARY DATE OF THE ORIGINAL REGISTRATION WITH THE SECRETARY OF STATE. DO NOT MAKE CHANGES ON THIS FORM. IF CHANGES ARE NECESSARY, AMENDMENT FORM UPA-1001(h)/1102(g) AND THE $25 FEE IS REQUIRED. 1. Registered Limited Liability Partnership Name: __________________________________________________ 2. Federal Employer Identification Number (FEIN): ________________________________________________ 3. State of Jurisdiction: ______________________________________________________________________ 4. Effective Date of Initial Registration in Illinois: ________________________________________________ 5. Address of Chief Executive Office (P.O. Box alone and c/o are unacceptable.): __________________________ ______________________________________________________________________________________ 6. Illinois Registered Agent: __________________________________________________________________ Illinois Registered Office (P.O. Box alone and c/o are unacceptable.): ________________________________ ______________________________________________________________________________________ 7. Total Number of Partners currently (minimum of 2): ______________________________________________ 8. Brief statement of the business in which the partnership engages: __________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ♻ Printed on recycled paper. Printed by authority of the State of Illinois. June 2010 – 200 – RLLP 3.9 |
UPA-1003-F 9. The partnership hereby applies for continual status as a foreign Limited Liability Partnership. 10. This renewal statement is accompanied by a Certificate of Good Standing from the proper officer of the state or country wherein the LLP is formed. 11. The undersigned affirms, under penalties of perjury, having authority to sign hereto, that this renewal application is to the best of my knowledge and belief, true, correct and complete. Dated 20 Month, Day Year __________________________________________________ ________________________________________________ Signature Street Address 1. __________________________________________________ 2. ________________________________________________ Name (type or print) City, Town 1. __________________________________________________ 2. ________________________________________________ Partner Name if a Corporation or other Entity State, ZIP ♻ Printed on recycled paper. Printed by authority of the State of Illinois. June 2010 – 200 – RLLP 3.9 |