State of Arizona – Office of the Secretary of State                                               DO NOT WRITE IN THIS  PACES            
                         Statement of Foreign Qualification of a Foreign                                                    
                         Limited Liability Partnership A.R.S. § 29-1106                                                     
                         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 statement. FOR OFFICE  SE U NLYO  
                                                                                                                           SOSBS ARS291106   EV R    . 3/12/2015 
  This application must be submitted with a self-addressed, stamped envelope with applicable filing fees. 
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.  If filing by mail, make 
1106                                                                           checks or money orders payable to the: Secretary of State. 
Be Accurate: Complete all applicable fields on this form. Write legibly;       Processing:   2-3 weeks; expedited service, fee $25 (24-48 hours). 
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, 
Submission:  Submit this certificate in duplicate (one original, one           www.azsos.gov. 
copy) with a self-addressed, stamped envelope with payment. Any other          Questions? Call (602) 542-6187; in-state/toll-free (800) 458-5842. 
matters, please attach additional sheets with filing. 
 
 1. Partnership information                                                                                                       
 Name of the Foreign Limited Liability Partnership  End the name with the words “Limited Liability Partnership ” or “L.L.P.” 

 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 

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