Annual Report Limited Liability Partnership 2022

Mark Martin, Arkansas Secretary of State LIMITED LIABILITY PARTNERSHIP ANNUAL REPORT 2017 Report Due April 1 (PLEASE TYPE OR PRINT CLEARLY IN BLACK INK) The undersigned, pursuant to A.C.A. § 4-46-1003, sets forth the following: Domestic 1. Name of the Limited Liability Partnership: 2. State or jurisdiction under whose laws Limited Liability Partnership is formed: 3. Street Address (Chief Executive Office): City: Email Address: 4. Street Address (Office in Arkansas, if different than above): City: 5. Agent for Service of Process: Street Address: City: Mailing Address (if different than above): City: 6. Tax Contact Name: Mailing Address: City: 7. Statement of Qualification Date: 8. List of Partners: General Partner/Partner: General Partner/Partner: General Partner/Partner: General Partner/Partner: Tax Preparer: State: Zip: State: Zip: State: Zip: State: Zip: State: Zip: Foreign Executed this ______________ day of _________________________, _____________ (Day) (Month) (Year) ______________________________________________ Authorizing Officer (Type or Print in Black Ink) _____________________________________________ Signature of Authorizing Officer (Sign in Black Ink) Business and Commercial Services Division 1401 W. Capitol, Suite 250, Little Rock, Arkansas 72201-1094 Make checks payable to Arkansas Secretary of State Phone: 501-682-3409 or Toll Free: 888-233-0325 Email: corprequest@sos.arkansas.gov · Website: www.sos.arkansas.gov Filing Fee: $15.00 ­ Remittance must accompany this report. American LegalNet, Inc. www.FormsWorkFlow.com Rev. 12/16