SECRETARY OF THE STATE OF CONNECTICUT MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. BOX 150470, HARTFORD, CT 06115-0470 DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 TRINITY STREET, HARTFORD, CT 06106 PHONE: 860-509-6003 WEBSITE: www.concord-sots.ct.gov STATEMENT OF DISSOLUTION USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY. CONNECTICUT PARTNERSHIP FILING PARTY (CONFIRMATION WILL BE SENT TO THIS ADDRESS): NAME: ADDRESS: FOR OFFICIAL USE ONLY: CITY: STATE: ZIP: 1. NAME OF THE PARTNERSHIP: THE ABOVE NAMED PARTNERSHIP IS DISSOLVED AND IS WINDING UP ITS BUSINESS. ITS STATEMENT OF PARTNERSHIP AUTHORITY IS HEREBY CANCELED PURSUANT TO CONN. GEN. STAT. SECTION 34-376 2. EXECUTION BY PARTNER: DATED THIS DAY OF , 20 I HEREBY DECLARE UNDER THE PENALTIES OF FALSE STATEMENT THAT THE STATEMENTS MADE IN THE FOREGOING DOCUMENT ARE TRUE NAME OF SIGNING PARTNER (print or type) SIGNATURE PAGE 1 OF 1 FORM GPDS-1-1.0 Rev. 7/2015 American LegalNet, Inc. www.FormsWorkFlow.com