Vermont Secretary of State
STATEMENT OF QUALIFICATION
of a Limited Liability Partnership (Domestic or Foreign)
PLEASE RETURN EVIDENCE OF FILING TO: (Name and Address)
PLEASE REVIEW INSTRUCTIONS ON REVERSE BEFORE BEGINNING.
11 V.S.A. § 2191, 3302 DIVISION OF CORPORATIONS FORM LLP-1
(REV. 08/01/14) Page 1 of 2 LLP REGISTRATION
Business ID:
Processed by:
FOR OFFICE USE ONLY
1. BUSINESS NAME: REQUIRED
2. BUSINESS PURPOSE: OPTIONAL- STATEMENT OR NAICS CODE (PREFERED) OF PRIMARY GOODS OR SERVICES TO BE PROVIDED UNDER THIS BUSINESS NAME
3. JURISDICTION OF FORMATION: FOREIGN LLP ONLY: US STATE OR NON-US COUNTRY
4. BUSINESS LOCATION(S) OF PARTNERSHIP: REQUIRED
a. Principle Office: REQUIRED
(1) Physical Address: NO PO BOX
City/Town: State: ZIP: -
(2) Mailing Address:
City/Town: State: ZIP: -
b. Office in Vermont: REQUIRED-IF THE PRINCIPLE OFFICE IS NOT LOCATED IN VERMONT
(1) Physical Address: NO PO BOX
City/Town: State: VT ZIP: -
(2) Mailing Address:
City/Town: State: VT ZIP: -
5. INITIAL REGISTERED AGENT and OFFICE FOR SERVICE OF PROCESS: REQUIRED
a. Registered Agent: Name:
Mailing Address:
City/Town: State: VT ZIP: -
E-Mail Address:
b. Registered Office REGISTERED AGENT’S PHYSICAL BUSINESS ADDRESS:
Street Address: NO PO BOX
City/Town: State: VT ZIP: -
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Vermont Secretary of State
STATEMENT OF QUALIFICATION
of a Limited Liability Partnership (Domestic or Foreign)
11 V.S.A. § 2191, 3302 DIVISION OF CORPORATIONS FORM LLP-1
(REV. 08/01/14) Page 2 of 2 LLP REGISTRATION
6. PARTNERS: REQUIRED LIST ALL CURRENT PARTNERS
a. Name:
Address:
E-Mail Address:
b. Name:
Address:
E-Mail Address:
CHECK IF APPLICABLE:
This partnership now has more than 2 partners. MUST ATTACH A COMPLETE LIST OF ADDITIONAL PARTNERS.
7. EFFECTIVE DATE: OPTIONAL .
EFFECTIVE DATE MAY BE POST-DATED UP TO 90 DAYS FROM DATE
CERTIFICATION OF STATEMENT: REQUIRED
I/We hereby certify, under penalty of perjury (11 V.S.A. § 3205(c)), as the partners or authorized filers, that the above information is accurate, a copy of this
statement has been provided to each partner who’s signature does not appear below, and that this statement is provided in duplicate to the secretary of
state with a Check or Money Order made payable to "VT SOS" in the amount of $75.00 (Vermont LLP) or $100.00 (non-Vermont LLP).
Printed Name of Partner or Filer Signature Date
Printed Name of Partner or Filer Signature Date
PLEASE REVIEW INSTRUCTIONS ON REVERSE BEFORE FILING
Vermont Secretary of State
STATEMENT OF QUALIFICATION
of a Limited Liability Partnership (Domestic or Foreign)
11 V.S.A. § 2191, 3302 DIVISION OF CORPORATIONS FORM LLP-1
(REV. 08/01/14) Instruction Page LLP REGISTRATION
SUBMISSION INSTRUCTIONS
a. This form must be filed in duplicate (1 original + 1 copy or-- 2 originals) with a check or money order, payable to “VT SOS,”
in the amount of $75.00, and a self-addressed stamped envelope.
b. This form can ONLY be accepted by Mail or In-person at:
Vermont Secretary of State
Corporations Division
128 State Street
Montpelier, VT 05633-1104
c. Please allow 7-10 business days, or more, from the day that this form received in our office, for processing and (if
approved) for this business appear on the website at www.vtsosonline.com, and for evidence of filing to be returned.
***THIS FILING IS NOW AVAILABLE ONLINE***
This form CANNOT be accepted by Phone, Fax, or E-mail; however, this filing is now available online:
o If you wish to submit this filing electronically, DO NOT fill out this form, please file online at
https://www.vtsosonline.com/online/Account?referrer=BF.
Payment for this form also CANNOT be accepted by credit card or e-check (ACH); however:
o If you wish to submit payment by credit card or e-check (ACH), DO NOT fill out this form, please file
online at https://www.vtsosonline.com/online/Account?referrer=BF.
Online filing normally takes 3-5 business days or less.
FORM INSTRUCTIONS
General 1. Information on this application must be current as of the date this application is filed on behalf of the LLP.
General 2. All required information must be provided. If not, the secretary of state will promptly notify the reporting LLP in
writing and return this filing to it for correction. If this filling is corrected to contain the information required and delivered to
the secretary of state within 30 days after the effective date of notice, it is deemed to be timely filed.
General 3. If this statement names an agent, the agent will maintain a list of the names and mailing addresses of all of the
partners and make it available to any person on request for good cause shown. (11 V.S.A. § 3223(b)).
Line 1. a. The name of a limited liability partnership must end with "Registered Limited Liability Partnership," "Limited
Liability Partnership," "R.L.L.P.," "L.L.P.," "RLLP," or "LLP." (11 V.S.A. § 3292(a))
b. An LLP's name, based upon the records of the secretary of state, shall be distinguishable from, and not the same
as, deceptively similar to, or likely to be confused with or mistaken for any name granted, registered or reserved
under this chapter, or the name of any other entity, whether domestic or foreign, that is granted, reserved or
registered by or with the secretary of state. (11 V.S.A. § 3292(b)) Please see
http://www.sec.state.vt.us/seek/keysrch.htm to check availability of desired name(s).
c. In the event that the name of the foreign LLP does not satisfy the requirements of 11 V.S.A. § 3292, the foreign
LLP shall use an available trade name to transact business in this state if it delivers to the secretary of state for filing a
copy of the statement executed by at least two partners adopting the trade name (FORM NAME -1a);
Line 4a. (1) The street address of the partnership's principal office and, if different
(2) The address of an office of the partnership in Vermont, if any.
Line 4b. (1) If there is no office of the partnership in Vermont, partnership must provide the name and street address of the
partnership's agent for service of process.
(2) The agent of a foreign limited liability partnership for service of process must be an individual who is a resident
of this state or other person authorized to do business in this state.
Line 5. If an Agent is designated in Line 3, The names and addressees of the partners are not required to be disclosed in this
statement. (11 V.S.A. § 3223(a)(1)(C))
Line 6. Must be signed by either (1) the Agent Designated in Block 3, or (2) two of the partners listed in Block 4 (11 11 V.S.A.
§3205 (c)).
For Questions, Contact Corporations Division at:
corps@sec.state.vt.us or by phone at (802) 828-2386