$50.00 Filing Fee payable to Arkansas Secretary of State APPLICATION FOR QUALIFICATION OF LIMITED LIABILITY PARTNERSHIP (Under Act 1518 of 1999) (PLEASE TYPE OR PRINT CLEARLY IN INK) 1.The name of the limited liability partnership is: 2a. The street address of the chief executive office of the limited liability partnership is: (Type or Print) (Partner) (Partner) (Date) (Date) 002032030020024r030030036003025023023r027013020n022007r027033020013r030037%(#b020013031025027035002032020022f020024017037$'#$t 003n026020031025022037004020031031022r006025013021 001027021n024030n030007r013027r031n027035025016007031n031rRev. /8American Legalwww.FormsWorkFlow.com Annual Report Contact Information LIMITED LIABILITY PARTNERSHIP PLEASE TYPE OR PRINT CLEARLY IN INK JURISDICTION (SELECT ONE) DOMESTIC FOREIGNIn order for this entity to receive its annual reporting form, please complete and file with the Office of the Secretary of State at the time of filing. Entity name as used in Arkansas Contact Person Street Address or Post Office Box Number City, State Zip Telephone Number E-mail AddressNOTE: Annual Reports will be due on or before April 1st the year following filing or qualification in this state.I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days. Executed this day of , . Signature Authorized Officer (Type or Print) 002032030020024r030030036003025023023r027013020n022007r027033020013r030037%(#b020013031025027035002032020022f020024017037$'#$t 003n026020031025022037004020031031022r006025013021 001027021n024030n030007r013027r031n027035025016007031n031r007031n031r003n026020031025022"004020031031022r006025013021037001027021n024030n030*%%#$!$#,'(#$!)+%!&'#,"034034034 030025030 n027021n024030n030 017025033 Rev. /8American LegalNet, Inc. www.FormsWorkFlow.com