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DO NOT WRITE IN THIS PACES
State of Arizona – Office of the Secretary of State
Statement of Foreign Qualification of a Foreign
Limited Liability Partnership A.R.S. § 29-1106
SEND BY MAIL TO:
Secretary of State Adrian Fontes, 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,2nd Fl., Ste. 220 400 W. Congress, 1st Fl., Suite 141
Office Hours: Monday through Friday, 8 a.m. to 5 p.m., except state holidays.
PLEASE NOTE: All correspondence regarding this filing will be sent to the principal office identified on this statement. FOR OFFICE SE U NLYO
This application must be submitted with a self-addressed, stamped envelope with applicable filing fees. SOSBS ARS291106 EVR . 01/04/2023
INSTRUCTIONS
Before transacting business in this state, a foreign limited liability Filing Fee and Payment: $3.00 Filing Fee; Plus $10.00 Authority to
partnership must file a statement of foreign qualification. A.R.S. § 29- Transact Business; Plus $3.00 per page. Checks or money orders shall
1106 be made payable to the Secretary of State. Credit cards accepted for in
Be Accurate: Complete all applicable fields on this form. Write legibly; person filings.
or fill out this application online at www.azsos.gov and print it. Processing:2-3 weeks; expedited service, $25 Fee 5 business( days ).
Submission: Submit this certificate in duplicate (one original, one Website: All forms are available on the Secretary of State’s website,
copy) with a self-addressed, stamped envelope with payment. Any other www.azsos.gov.
matters, please attach additional sheets with filing. Questions? Call (602) 542-6187; in-state/toll-free (800) 458-5842.
1. Partnership information
Name of the Foreign Limited Liability Partnership Partnership Email Address
The state or country under whose laws the FLLP was formed or created Date of formation Month Day Year
The authorizing agency (optional) Registration number (optional)
The address of the office maintained in the state of organization:
Address City State Zip
The Arizona street address of the office used by the Foreign Limited Liability Partnership in this state:
Arizona address of chief executive office (P.O. Box or C/O are unacceptable) 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. Delayed Effective Date, If Any
Month Day Year
4. Signatures of general partners:
Name of General Partner
Signature Month Day Year
Name of General Partner
Signature Month Day Year
Name of General Partner
Signature Month Day Year
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Arizona Department of State Office of the Secretary of State Adrian Fontes, Secretary of State