THE GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES 
 
OFFICE OF THE LIEUTENEANT GOVERNOR 
 
 
 
                           DIVISION OF CORPORATIONS AND TRADEMARKS 
  TEL. (340) 776-8515     ♦      FAX   (340) 776-4612  
 
 
 
                            5049 Kongens Gade, St. Thomas, VI 00802-6487 
 
 
 
ANNUAL REPORT AND ANNUAL FEE 
OF FRANCHISE TAX DUE 
PURSUANT TO TITLE 26, ACT NO. 6205, CHPTR. 1, SUBCHPTR X, SEC. 223 
 
LIMITED LIABILITY 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) 
Name of Limited Liability Partnership ___________________________________________________________________________________ 
 
 
(b) 
State or Country where organized_______________________________________________________________________________________ 
 
 
2) 
(a) 
Mailing address of chief executive office__________________________________________________________________________________ 
 
 
(b) 
Physical address of Virgin Islands office__________________________________________________________________________________ 
(if any) 
 
3) 
(a) 
Name of Agent for service of process in the Virgin Islands___________________________________________________________________ 
 
 
(b)          Physical address of Agent______________________________________________________________________________________________ 
 
 
(c) 
Mailing address of Agent______________________________________________________________________________________ 
 
 
4) 
ANNUAL FEE 
$150.00 
 
 
 
 
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, 5049 Kongens Gade, St. Thomas, USVI  00802-6487) 
 
Certified Correct 
 
 
 
 
___________________________________________________________________ 
 
 
 
____________________________________ 
                   Partner  
 
 
 
 
          
 
 
 
             Date 
 
 
 
 
 
 
 
 
Revised 10/02