Arizona Department of State Office of the Secretary of State Michele Reagan, Secretary of State
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 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,
1700 W. Washington Street, 1st Fl., Room 103
TUCSON - Arizona State Complex,
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.
DO NOT WRITE IN THIS SPACE
FOR OFFICE USE ONLY
SOSBS ARS291106 REV. 3/12/2015
PLEASE NOTE: All correspondence regarding this filing will be sent to the principal office identified on this statement.
This application must be submitted with a self-addressed, stamped envelope with applicable filing fees.
Before transacting business in this state, a foreign limited liability
partnership must file a statement of foreign qualification. A.R.S. § 29-
1106
Be Accurate: Complete all applicable fields on this form. Write legibly;
or fill out this application online at www.azsos.gov and print it.
Submission: Submit this certificate in duplicate (one original, one
copy) with a self-addressed, stamped envelope with payment. Any other
matters, please attach additional sheets with filing.
Filing Fee and Payment: $3.00 Filing Fee; Plus $10.00 Authority to
Transact Business; Plus $3.00 per page. If filing by mail, make
checks or money orders payable to the: Secretary of State.
Processing: 2-3 weeks; expedited service, fee $25 (24-48 hours).
Website: All forms are available on the Secretary of State’s website,
www.azsos.gov.
Questions? Call (602) 542-6187; in-state/toll-free (800) 458-5842.
1. Partnership information
Name of the Foreign Limited Liability Partnership End the name with the wordsLimited 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
AZ
Zip Code
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
AZ
Zip Code
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