PENNSYLVANIA DEPARTMENT OF STATE
BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS
Read all instructions prior to completing.
Fee: $125 I qualify for a veteran/reservist-owned small business fee exemption (see instructions)
In compliance with the requirements of 15 Pa.C.S. § 8201 (relating to statement of registration), the undersigned
general partnership or limited partnership, desiring to register as domestic limited liability partnership or limited liability
limited partnership, hereby certifies that:
1. The name of the domestic limited liability partnership or limited liability limited partnership is (designator is required,
i.e., “company,” limited” or “limited liability partnership” or abbreviation):
2. Check and complete one of the following:
The partnership is a general partnership and the address, including number and street, if any, of its principal place
of business is:
Number and street City State Zip County
The partnership is a limited partnership and the (a) address of its current registered office in this Commonwealth
or (b) name of its commercial registered office provider and the county of venue is: (Complete (a) or (b), not both)
(a) Number and Street City State Zip County
c/o:
(b) Name of Commercial Registered Office Provider County
3. The general/limited (strike out inapplicable term) partnership registers under 15 Pa.C.S. Chapter 82 Subchapter A.
4. The registration has been authorized by at least a majority in interest of the partners.
5. Effective date of Statement of Registration (check, and if appropriate complete, one of the following):
The Statement of Registration shall be effective upon filing in the Department of State.
The Statement of Registration shall be effective on: _________________________ at __________________.
Date (MM/DD/YYYY) Hour (if any)
IN TESTIMONY WHEREOF, the undersigned general partner of the domestic limited liability partnership/limited
liability limited partnership has executed this Statement of Registration this ______ day of _______________, ________.
________________________________________________________
Name
________________________________________________________
Signature
________________________________________________________
Title
Return document by mail to:
Name
Address
City State Zip Code
Return document by email to:
_________________________________
DSCB:15-8201AInstructions
Pennsylvania Department of State
Bureau of Corporations and Charitable Organizations
P.O. Box 8722
Harrisburg, PA 17105-8722
(717) 787-1057
Website: www.dos.pa.gov/corps
General Information
Typewritten is preferred. If handwritten, the form must be
legible and completed in black or blue-black ink in order to
permit reproduction.
The nonrefundable filing fee for this form is $125. Checks
should be made payable to the Department of State. Checks
must contain a commercially pre-printed name and address.
Filers requesting a veteran/reservist-owned small business fee
exemption should attach proof of the veteran’s or reservist’s
status to the Statement of Registration form when submitted.
For more information on the fee exemption, see
Fees and
Payments.
This form and all accompanying documents, including any
necessary governmental approvals, shall be mailed to the
address stated above.
Who should file this form?
The status of being a limited liability partnership is available
for either general partnerships or limited partnerships. In the
case of a limited partnership, the limited partners already
enjoy limited liability, but registering will provide limited
liability for the general partners.
For a general partnership registering as a limited liability
partnership, prior registration with the Department of State as
a general partnership is not required. For a limited partnership
registering as a limited liability limited partnership, the limited
partnership must be an existing limited partnership filed with
Department of State in order to use this form.
Registration under 15 Pa.C.S. § 8201 does not change the
basic form of organization of the registering partnership as
either a general or limited partnership.
Applicable Law
For requirements on limited liability partnerships and limited
liability limited partnerships, see 15 Pa.C.S. §§ 8201-8244.
Statutes are available on the Pennsylvania General Assembly
website, www.legis.state.pa.us
, by following the link for
Statutes.
Definitions
A limited liability partnership is a domestic or foreign
general partnership for which there is in effect:
(1) a statement of registration under Chapter 82 (relating to
limited liability partnerships and limited liability limited
partnerships); or
(2) a similar filing under the organic law of a foreign
general partnership.
A limited liability limited partnership is a domestic or
foreign limited partnership for which there is in effect:
(1) a statement of registration under Chapter 82;
(2) a provision of its certificate of limited partnership
electing to be subject to Chapter 82; or
(3) a similar filing or provision under the organic law of a
foreign partnership.
Form Instructions
Enter the name and mailing address to which any
correspondence regarding this filing should be sent.
This field must be completed for the Bureau to return the
filing. If the filing is to be returned by email, an email address
must be provided. An email will be sent to address provided,
containing a link and instructions on how a copy of the filed
document or correspondence may be downloaded. Any email
or mailing addresses provided on this form will become part
of the filed document and therefore public record.
1. Give the exact name of the limited liability partnership or
limited liability limited partnership. The proper name of a
domestic limited liability partnership must contain the term
“company,” limited” or “limited liability partnership,” or an
abbreviation of one of those terms. This field is required.
2. Address. Under 15 Pa.C.S. § 135(c) (relating to addresses)
an actual street or rural route box number must be used as an
address, and the Department of State is required to refuse to
receive or file any document that sets forth only a post office
box address. For a general partnership, the address of the
principal place of business should be set forth in the first part
of Field 2. For a limited partnership, the registered office
address should be set forth in the second part of Field 2. The
registered office address may be a number and street address
or the name of a Commercial Registered Office Provider.
This field is required.
3. The statement in this field is required.
4. The statement in this field is required.
5. Any date specified as the effective date of the Statement of
Registration must be a future effective date (after the date and
time of its delivery to the Department). A specified effective
date may not be retroactive (prior to the date and time of the
delivery of the Statement of Registration to the Department).
If a delayed effective date is specified, but no time is given,
then the time used will be 12:01 a.m. on the date specified. If
neither option for an effective date is checked, it will be
presumed that no specified delayed effective date is intended
and the document will be effective upon filing. This field is
required.
Signature and Verification
This form must be signed by a general partner. Any natural
person of full age, corporation, partnership, limited liability
company, business trust, other association, government entity
(other than the Commonwealth), estate, trust or foundation
may be designated as a general partner in the general
partnership or limited partnership which is registering and
may execute this form. Signing a document delivered to the
Department for filing is an affirmation under the penalties
provided in 18 Pa.C.S. § 4904 (relating to unsworn
falsification to authorities) that the facts stated in the
document are true in all material respects. This field is
required.
Attachments
The following, in addition to the filing fee, shall accompany
this form:
(1) Any necessary copies of form DSCB:19-17.2
(Consent to Appropriation of Name).
(2) Any necessary governmental approvals.