Annual Report And Annual Fee (Limited Liability Limited Partnership)

THE GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES OFFICE OF THE LIEUTENEANT GOVERNOR TEL. (340) 776-8515 FAX (340) 776-4612 TEL. (340) 773-6449 FAX (340) 773-0330 DIVISION OF CORPORATIONS AND TRADEMARKS 52E-1 Estate Thomas, Charlotte Amalie, St. Thomas, VI 00802 1131 King Street, Suite#101, C'sted, St. Croix, USVI 00820 ANNUAL REPORT AND ANNUAL FEE OF FRANCHISE TAX DUE PURSUANT TO TITLE 26, ACT NO. 6205, CHPTR. 1, SUBCHPTR X, SEC. 223 LIMITED LIABILITY LIMITED PARTNERSHIP - DOMESTIC/FOREIGN (THIS REPORT IS DUE ON OR BEFORE JUNE 30TH OF EACH YEAR) EMPLOYER I.D. NO. Date of Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . This Report is for the Period Ending June 30th.. . . . . . . . . . . . . . (Financial Statements filed should be for the fiscal year ended before June 30th of the current year.) ..................................... 1) (a) (b) Name of Limited Liability Limited Partnership____________________________________________________________________________ State or Country where organized_______________________________________________________________________________________ Mailing address of chief executive office__________________________________________________________________________________ Physical address of Virgin Islands office__________________________________________________________________________________ (if any) Name of Agent for service of process in the Virgin Islands___________________________________________________________________ Physical address of Agent______________________________________________________________________________________________ Mailing address of Agent______________________________________________________________________________________ $150.00 $ 2) (a) (b) 3) (a) (b) (c) 4) ANNUAL FEE TOTAL FEE DUE AND FORWARDED HEREWITH . (Attach check payable to the Government of the Virgin Islands and mail to the Office of the Lieutenant Governor, Division of Corporations and Trademarks, #18 Kongens Gade, St. Thomas, USVI 00802 or 1131 King Street, Suite#101 C'sted, St. Croix, USVI 00820.) Certified Correct ___________________________________________________________________ Partner ____________________________________ Date Revised 10/02 American LegalNet, Inc. www.FormsWorkflow.com