State of Arizona – Office of the Secretary of State                                                 DO NOT      WRITE IN THIS  PACES         
                          Combined Certificate of Limited Partnership &                                                        
                          Statement of Qualification to be a Limited                                                           
                          Liability Partnership, A.R.S. § 29-308(C)                                                            
                          SEND BY MAIL TO:                                                                                     
                            Secretary of State Michele Reagan, Atten: Limited Partnerships                                     
                            1700 W. Washington Street, FL. 7, Phoenix, AZ 85007-2808                                           
                          OR return this application in person:                                                                
                          PHOENIX - State Capitol Executive Tower,           TUCSON - Arizona State Complex,                   
                          1700 W. Washington Street, 1st  Fl., Room 103   400 W. Congress, 1st Fl., Suite 141                  
                          Office Hours: Monday through Friday, 8 a.m. to 5 p.m., except state holidays.                        
                          IN-PERSON ONLY - We accept major credit                                                              
                          cards and bank debit cards.                                                                          
 PLEASE NOTE:   All correspondence regarding this filing will be sent to the principal office identified on this certificate. FOR OFFICE  SE UNLY O  
                                                                                                                              SOSBSARS29308C        R   EV .3/12/2015 
 This application must be submitted with a self-addressed, stamped envelope with applicable filing fees. 
INSTRUCTIONS 
A limited partnership may file a combined certificate of limited               Submission:  Submit this certificate in duplicate (one original, one 
partnership and a limited liability partnership statement of qualification If  copy) with a self-addressed, stamped envelope with payment. Any 
the combined filing indicates in its heading or introductory paragraph         other matters, please attach additional sheets with filing. 
that it contains both a certificate of limited partnership and a limited       Filing Fee and Payment: $10; Plus $3 per page; Plus $3 Statement 
liablity partnership statement of qualifcation. A.R.S. § 29-308(C)             of Qualification. If filing by mail,make           checks or money orders 
When to use this form: To be filed when partnership is NOT ON                  payable to the: Secretary of State. 
RECORD with the Secretary of State.                                            Processing:    2-3 weeks; expedited service (24-48 hours) available for 
Be Accurate: Complete all applicable fields on this form. Write legibly;       an additional $25. 
or fill out this application online at www.azsos.gov and print it.             Website: All forms are available on the Secretary of State’s website, 
Questions? Call (602) 542-6187; in-state/toll-free (800) 458-5842.             www.azsos.gov. 
 1. Partnership information                                                                                                             
 Name of the partnership  End the name with the words “Limited Partnership” or “L.P.” 

 Name of the Limited Liability Partnership  End the name with the words “Limited Liablity Partnership” or “L.L.P.” 

 Name of the Limited Liability Limited Partnership  End the name with the words “Limited Liablity Limited Partnership” or “L.L.L.P.” 

 Arizona address of chief executive office (P.O. Box or C/O are unacceptable)                                     Phone number (include area code) 
                                                                                                                  (       ) 
 City                                                                                  State                                  Zip Code 
                                                                                              AZ 
2. Agent for service of process information 
Agent    for service of process                                                                                   Phone number (include area code) 
                                                                                                                  (       ) 
Arizona address of agent (P.O. Box or C/O are unacceptable)                    City                                                    State  Zip Code 
                                                                                                                                          AZ 
3.  The Names,  Addresses, and Signatures of each general partner: 
Name of General Partner 

Street Address                                                                 City                                                    State      Zip Code 
                                                                                                                                              
Signature                                                                                                                              Month      Day      Year 

Name of General Partner 
 
Street Address                                                                 City                                                    State      Zip Code 
                                                                                                                                              
Signature                                                                                                                              Month      Day      Year 

Name of General Partner 

Street Address                                                                 City                                                    State      Zip Code 
                                                                                                                                              
Signature                                                                                                                              Month      Day      Year 

Arizona Department of State                              Office of the Secretary of State                                      Michele Reagan, Secretary of State