New York State 
                                                                         Department of State 
                                                               DIVISION OF CORPORATIONS, 
                                                                         STATE RECORDS AND  
                                                               UNIFORM COMMERCIAL CODE 
                                                                         One Commerce Plaza 
                                                                         99 Washington Ave. 
                                                                         Albany, NY 12231-0001 
                                                                         https://dos.ny.gov                                         
DOCUMENT AND CERTIFICATE COVER SHEET 

Contact Information 
 
Name:   ______________________________________________________________________________ 
 
Mailing Address:_______________________________________________________________________ 
                   
              _____________________________________________________________________________ 
 
Email Address: ______________________________________________________________________ 
 
Phone Number:  ______________________________________________________________________ 
 
Request for Filing of Document 
 
Exact Name of Entity: __________________________________________________________ 
____________________________________________________________ 
 
Document Type:_______________________________________________________________  
                                   (i.e., Certificate of Incorporation, Articles of Organization, Certificate of Amendment, etc.): 
 
Request for Copies or Certificates of Status (Check the appropriate box) 
 
Exact Name of Entity: __________________________________________________________ 

□ Certified Copies of all Documents on File ($10 per document) 

□ Plain Copies of all Documents on File ($5 per document) 

□Certified Copy of _____________________________________________________ ($10 per document) 
                               (specify document) 

□ Plain Copy of ________________________________________________________ ($5 per document) 
                               (specify document) 

□ Certificate of Status - Long Form ($25 per document) 

□ Certificate of Status - Short Form ($25 per document)   
 
Method of Delivery of Filing Receipt or Other Document  

All documents will be returned to the email address listed above with the exception of certified and 
uncertified copies filed before July 1990. 

DOS-2183-f (04/22) 

                                                                                           New York State 
                                                                                          Department of State 
                                                                                    DIVISION OF CORPORATIONS, 
                                                                                          STATE RECORDS AND  
                                                                                    UNIFORM COMMERCIAL CODE 
                                                                                          One Commerce Plaza 
                                                                                           99 Washington Ave. 
                                                                                          Albany, NY 12231-0001 
                                                                                           https://dos.ny.gov 
   
                           NOTICE OF REGISTRATION 

                              OF 
 
                            (Insert Name of Foreign Limited Liability Partnership) 
                            Under Section 121-1502(a) of the Partnership Law 

   FIRST:                The name under which the registered foreign limited liability partnership shall carry on 
   or conduct or transact business or activities in New York State is: 
 
                                                                                                                                                                                                                                                           .   
   SECOND: The jurisdiction in which the foreign limited liability partnership is registered is:  
    
                                                                                                                     .   
   The date on which the foreign limited liability partnership was registered in its jurisdiction is: 
    
                                                                                                                                                               . 
   THIRD: The address of the principal office of the foreign limited liability partnership in New  
   York State is: 
    
                                                                                                                                                                                . 
   FOURTH: The profession or professions to be practiced by such foreign limited liability 
   partnership is: 
 
                                                                                                                                                                                . 
   The foreign limited liability partnership is eligible to file this notice under the Partnership Law. 
   FIFTH: The Secretary of State is designated as agent of the foreign limited liability partnership 
   upon whom process against the foreign limited liability partnership may be served.  

    The post office address to which the Secretary of State shall mail a copy of any process against the 
    foreign limited liability partnership served upon the Secretary of State by personal delivery is: 
  
                                                                                                          . 
    (Optional) The email address to which the Secretary of State shall email a notice of the fact that 
    process against the foreign limited liability partnership has been served electronically upon the 
    Secretary of State is: 
  
                                                                                                 . 
    
 DOS-1527-f (Rev. 12/22)                                                                                   Page 1 of 2 

  SIXTH:                 The registration of the foreign limited liability partnership is effective in the jurisdiction 
  in which it registered at the time of filing this notice. 
   
  SEVENTH: The foreign limited liability partnership is filing this notice to obtain status as a  
  New York registered foreign limited liability partnership. 
 
                  X 
  (Signature of Partner)                                                                        (Print or Type Name of Partner) 
 
                             NOTICE OF REGISTRATION 

                                                  OF 
 
                                       (Insert Name of Foreign Limited Liability Partnership) 
                             Under Section 121-1502(a) of the Partnership Law 
 
 Filer’s Name and Mailing Address: 

   Name: 

   Company, if Applicable: 

   Mailing Address: 

   City, State and Zip Code: 
 
  NOTES: 
  1. This form was prepared by the New York State Department of State for filing a notice of registration for a foreign  
      limited liability partnership. This form does not contain all optional provisions under the law. You are not  
      required to use this form.  You may draft your own form or use forms available at legal stationery stores.  
  2. The Department of State recommends that legal documents be prepared under the guidance of an attorney.   
  3. The certificate must be submitted with a $250 filing fee made payable to the Department of State.  
  4. The notice of registration must be accompanied by a certificate of existence or a copy of the last registration or  
      similar filing, if any, filed by the foreign limited liability partnership with the jurisdiction where it is registered as  
      a limited liability partnership. 
 
  For DOS Use Only 

 DOS-1527-f (Rev. 12/22)                                                                                                             Page 2 of 2