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