CERTIFICATE OF
LIMITED LIABILITY PARTNERSHIP
SECRETARY OF THE STATE OF CONNECTICUT
MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. BOX 150470, HARTFORD, CT 06115-0470
DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 TRINITY STREET, HARTFORD, CT 06106
PHONE:
860-509-6003 WEBSITE: www.concord-sots.ct.gov
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY.
ADDRESS:
CITY:
STATE: ZIP:
FILING PARTY (CONFIRMATION WILL BE SENT TO THIS ADDRESS):
NAME:
FILING FEE: $120
MAKE CHECKS PAYABLE TO "SECRETARY
OF THE STATE"
1. NAME OF THE LIMITED LIABILITY PARTNERSHIP:
2. PRINCIPAL OFFICE ADDRESS OF THE LIMITED LIABILITY PARTNERSHIP:
3. APPOINTMENT OF STATUTORY AGENT FOR SERVICE OF PROCESS:(COMPLETE ONLY IF PRINCIPAL OFFICE
STATED ABOVE IS NOT LOCATED IN CONNECTICUT)
4. BUSINESS IN WHICH THE LIMITED LIABILITY PARTNERSHIP ENGAGES:
PAGE 1 OF 2
FORM LLP-1-1.0
Rev. 1/1/2015
ZIP:STATE:
CITY:
ADDRESS:
NAME OF AGENT:
ADDRESS:
CITY:
STATE: ZIP:
BUSINESS ADDRESS:
ADDRESS:
CITY:
STATE: ZIP:
RESIDENCE ADDRESS:
ACCEPTANCE OF APPOINTMENT
SIGNATURE OF AGENT
5. OTHER PROVISIONS:
THE PARTNERSHIP HEREBY APPLIES FOR STATUS AS A REGISTERED LIMITED LIABILITY PARTNERSHIP.
7. EXECUTION:
DATED THIS DAY OF , 20
NAME OF SIGNATORY
(print or type)
CAPACITY/TITLE OF SIGNATORY
SIGNATURE
PAGE 2 OF 2
FORM LLP-1-1.0
Rev. 1/1/2015
6. PARTNERSHIP EMAIL ADDRESS - REQUIRED: (IF NONE, MUST STATE "NONE.".)