City
County
State
Zip Code
Jurisdiction (Home State or Country):
Date of Organization in Home State:
Period of Duration:
Brian P. Kemp
Secretary of State
OFFICE OF SECRETARY OF STATE
CORPORATIONS DIVISION
2 Martin Luther King Jr. Dr. SE
Suite 313 West Tower
Atlanta, Georgia 30334
(404)656-2817
sos.georgia.gov/corporations
APPLICATION FOR CERTIFICATE OF AUTHORITY
FOR FOREIGN LIMITED LIABILITY PARTNERSHIP
IMPORTANT
Provide your e-mail address when
completing
this
transmittal form.
E-Mail:
NOTICE TO APPLICANT: PRINT PLAINLY OR TYPE REMAINDER OF THIS FORM
1.
Name of Limited Liability Partnership Name Reservation Number (Optional)
Date business commenced (or proposed) in Georgia (NOTE: Pursuant to O.C.G.A. 14-8-54, if the date provided here is more than 30 days prior to the
date the application is received by the Secretary of State, a $500 penalty FOR EACH YEAR OR PART THEREOF plus fees must be paid.)
2.
Name of Filing Person Telephone Number
Address City State Zip Code
3.
Principal Office Mailing Address City State Zip Code
4.
Name of Registered Agent in Georgia
Registered Office Street Address in Georgia (Post office box or mail drop not acceptable for registered office address)
GA
5.
Name of Limited Liability Partnership in State or Country of Formation
6.
Managing Partner’s Name & Address City State Zip Code
7.
Address Where Limited Liability Partnership Records Are Maintained City State Zip Code
8. Effective Date: (Choose one) Upon filing Delayed effective date and/or time:
(A delayed effective date must be within 90 days of the filing date.)
9. NOTICE: Mail or deliver the following items to the Secretary of State at the above address.
(1) This application; and
(2) Filing fee of $200.00 payable to “Secretary of State” Filing fees are non-refundable.
This application is signed by a person duly authorized to sign such instruments by the laws of the jurisdiction under which the foreign limited
liability partnership is organized. The foreign limited liability partnership undertakes to keep its records at the address shown in #7 above until its
registration in Georgia is canceled or withdrawn. The foreign limited liability partnership, in accordance with Title 14 of the Official Code of
Georgia Annotated, appoints the Secretary of State as agent for service of process if no agent has been appointed in Georgia or, if appointed, the
agent’s authority has been revoked or the agent cannot be found or served by the exercise of reasonable diligence.
Signature of Authorized Person Date
Print Name Title
FORM 2000
(Rev. 4/2015)