PROFESSIONAL LIMITED LIABILITY
PARTNERSHIP REGISTRATION
SECRETARY OF STATE
SFN 50239 (07-2008)
1. FILING FEES
New registration with two managing partners
Each additional managing partner (not to exceed $250)
A
mended registration
A
.
B.
NAME COMPLETE MAILING ADDRESS
SOCIAL
SECURITY/
FEDERAL ID
NUMBER
Street/RR PO Box City State Zip +4
Check box if
partner is a
managing
partner
13.
"The partnership elects to be a pro fessional limited liability partnership as pro vided by North Dakota Century Code, Chapters 10-31 and 45-22.
The undersigned managing partners have read the foregoing registration, know the contents thereof, and believe the statements made thereon to be
true. The undersigned further authorizes the Secretary of State to correct number 11A or 11B if not correctly reflected."
$
35.00
3.00
25.00
3. Attach a certificate from the North Dakota regulating board of the profession involved certifying that each of the partners is licensed to
practice the profession.
9. Toll-Free Telephone Number
8. Telephone Number
10. The profession practiced in North Dakota
SEE RE
V
ERSE SIDE FOR FEES, FILING
A
ND M
A
ILING INSTRUCTIONS.
For reference, see North Dakota Century Code, Chapters 10 -31 an d 45-2 2.
TYPE OR PRINT LEGIBLY
7. Effective date of registration (ch eck box)
(month, day, year)
At the time of filing with the Secretary of State
At a later date within 90 days as specified _________________________
FOR OFFICE USE ONLY
ID Number
WO Number
Filed By
4. Name of the profess ional limited liability partnership
5. Federal ID Number
6. Complete mailing address of principal executive office which may not be only a post office box (Street/RR, PO Box if applicable, City, State, Zip+4)
Signature
Date
Signature
Date
Signature
Date
14. Name of person to conta ct about this document Daytime Telephone NumberE-Mail Address
Date
Date
Date
Signature
Signature
2. This registration is a(n)
New registration
Amended registration
Signature
11A. Name of commercial
registered agent in North Dakota 11B. Name of noncommercial registered agent in North Dakota
11C. Address of noncommercial registered agent in North Dakota: (Street/RR, PO Box, City, State, Zip+4) May not be only a post office box.
OR
12. Names of all partners who will practice in North Dakota, their Social Security/Fede ral ID Numbe r's, and their residence address es
COMPLETE, PRINT, SIGN, AND FAX OR MAIL
(If paying with credit card complete authorization at bottom of page 3)
SFN 50239 (07-2008) Page 2
INSTRUCTIONS FOR PROFESSIONAL LIMITED LIABILITY PARTNERSHIP (LLP) REGISTRAT ION
A professional LLP must file a Professional Limited Liability Partnership Registration with the Secretary of State. Anyone acting as a LLP without a
registration in effect is jointly and severally liable for all debts and liabilities incurred or arising as a result.
The following numbers correspond to the numbered sections on the front of this form.
FILING FEES:
New registration with two managing partners $35
For each additional managing partner $3 (but not to exceed $250)
Amended registration $25
(Checks must be payable to "Secre tary of State" and must be for U.S. neg otiable funds. The Secretary of State accepts credit card
payments using VISA, MasterCard, or Discover.)
1.
Provide a toll-free telephone number if the LLP has one.
Identify the profession the LLP intends to practi ce in North Dakota.
COMMERCIAL OR NONCOMMERCIAL REGISTERED AGENT: A LLP must continuously maintain a commercial or noncommercial registered agent
and address in North Dakota. A LLP cannot serve itself as its registered agent.
A commercial registered agent must be registered as a commercial registered agent with the North Dakota Secretary of Sta te. The appointed agent
can verify their status as a commercial registered agent from their acknowledged filing and from the list of commercial registered agents ma intained on
the Secretary of State's website at www.nd.gov/sos.
A noncommercial registered agent may be one of the following:
a) An individual residing
in North Dakota,
b) A domestic or foreign c orporation, o r
c) A do mestic or foreign li mited liability company.
A corporation or limited liability company appointed as a noncommercial registered agent must be registered with the Secretary of Stat e, be in good
standing, and have a business address in North Dakota
. If a corporation or limited liability company is named as a noncommercial registered agent,
provide the "correct" name of the o rganization.
Seek the approval of the party before naming them as the commercial or noncommercial registered agent. Proof of the ap proval is not required to be
filed with the Secretary of State.
If a c ommercial registered agent is being appointed, provide the correct name as registered with the North Dakota Secretary of State. If the name in
number 9A is not the same as registered by the commercial registered agent, the name will be corrected by the Secretary of State when the document
is received.
OR
If a noncommercial registered agent is being appointed, provide the correct name. If a corporation or limited liability c ompany is appointed as registered
agent and the name of that organiz ation in num ber 9B is not the same as regis tered, the nam e will be corrected by the Secretary of State when the
document is received.
If a noncommercial registered agent is being appointed, provide the complete address in North Dakota which may not be only a post office box. Leave
this line blank if a c ommercial registered agent is appointed.
List the names, Social Security or Federal ID numbers, and complete mailing addresses of all partners who will practice the profession in North Dakota.
(See Privacy statement i n number 6.) If adequate space is not provided to list all practicing partners, attach an additional schedule listing all others.
Designate the managing partners by checking the box after their names.
The registration must be dated and signed by one or more managing partners authorized by the LLP.
List the name, email address and daytime telephone number of a contact person if this office has any questions or needs additional informa tion to file
this registration.
9.
10.
Indicate whether the a pplication is being submitted for a new registration or an amended registration.
A
ttach a certificate from the North Dakota regulating board of the profession identified in number 10 certifying that each of the partners who will practice
the profession in North Dakota is licensed to practice in Nor th Dakota.
Provide the name of the LLP. The name must include the words "professional limited liability partnership" or "limited liability partnership", or the
abbreviations "P.L.L.P.", "PLLP", L.L.P. or LLP.
The name may not be the same as, or deceptively similar to, any corporate name, limited liability company name, trade name, limited partnership name,
LLP name, limited liability limited partnership name, or a name which is in any manner reserved with the Secretary of State.
A
LLP's Federal ID number is helpful to maintain accurate records. Please provide if you have one.
Privacy: In compliance with North Dakota Law, Federal ID numbers and social security numbers are not disclos ed to the public. They are used by the
Secretary of State to maintain accurate limited liability partnership files. Therefore, while voluntary disclosure is requested, failure to do so will not result
in rejection of the registration.
Provide a complete address of the principal executive office of the LLP. In this section, an address must inc lude a street or rural address, a postal
box if applicable, and the city, state and zip code with 4 digit extension. This address cannot only be a post office box number.
Check either box to define the effective date of the LLP. A LLP may be effective at the time the registration is filed by the Secret ary of State, or at a later
date within 90 days after the filing. If a later effective date is preferred, specify the date (month, day and year). If neither box i s checked, the registration
will be effected when filed with the Secretary of State.
The telephone number of the principal executive office of the LLP is req uired.
2.
3.
4.
5.
6.
7.
8.
(
continued
)
11A.
11B.
11C.
12.
13.
14.
SFN 50239 (07-2008) Page 3
ASSISTANCE: If assistance is required to complete the form, contact the Secretary of State.
FAX FILING: A document and Credit Card Payment Authorization may be faxed to 701-328-2992. A faxed filing does not expedite the process of the
document in the office of the Secretary of State.
EMAIL: Email is not a secure utility for the transmission of private inform ation or credit card authorizations. DO NOT EMAIL YOUR DOCUMENT TO THE
SECRETARY OF STATE.
MAILING INSTRUCTIONS: Send the form and filing fee to:
Secretary of State
State of North Dakota
600 E Boulevard Ave Dept 108
Bisma
r
ck ND 58505-0500
Telephone: 701-328-4284 Toll Free: 800-352-0867 (84284) Fax: 701-328-2992 Web Site: www.nd.gov/sos
INSTRUCTIONS FOR PROFESSIONAL LIMITED LIABILITY PARTNERSHIP (LLP) REGISTRATION (CONTINUED)
A
NNU
A
L REPORT: An annual
r
epo
r
tis
r
equi
r
ed of a p
r
ofessional LLP on Ap
r
il 1s t in the
ea
r
afte
r
filing the P
r
ofessional Limited Liabilit
Pa
r
tne
r
ship
Registration. Annual report forms are mailed to the registered agent.
CREDIT CARD PAYMENT AUTHORIZATION
SECRETARY OF STATE
SFN 51478 (11-06)
Name
Address Zip Code
City
State
Master CardVISA
Account Number Card Expires
Month
Y
ea
r
Date
-
Signature (Required by credit c ard companies)
Discover
V Number
(All items required to complete transaction)
Amount Authorized