STATE OF SOUTH CAROLINA SECRETARY OF STATE APPLICATION FOR A CERTIFICATE OF AUTHORITY TO TRANSACT BUSINESS IN SOUTH CAROLINA/ APPLICATION TO RENEW A CERTIFICATE OF AUTHORITY BY A LIMITED LIABILITY PARTNERSHIP Limited Liability Partnership ­ Foreign Filing Fee - $100.00 TYPE OR PRINT CLEARLY IN BLACK INK Pursuant to South Carolina Code of Laws §33-41-1160, the undersigned submits the following to apply for a certificate of authority to transact business in the state of South Carolina. Registration is effective for one year after the date an application is filed unless it is voluntarily withdrawn. 1. The name of the limited liability partnership is ________________________________________ *S.C. Code of Laws §33-41-1120 requires that the name of a registered limited liability partnership must contain the words "Registered Limited Liability Partnership" or the abbreviation "L.L.P." as the last words or letters of its name. The foreign registered limited liability partnership is organized under the laws of ______________________________________________________________________________ and was organized on the following date _____________________________________________ 3. The registered office (located in South Carolina) of the limited liability partnership is ______________________________________________________________________________ Street Address CHECK THE APPROPRIATE BOX: [ ] Original Application [ ] Renewal Application 2. ______________________________________________________________________________ City County State Zip Code and the registered agent at such address is ____________________________________________ Print Name I hereby consent to the appointment as registered agent. ____________________________________________________ Agent's Signature 4. The foreign registered limited liability partnership has liability insurance of the amount and type described in S.C. Code of Laws §33-41-1130(A), or segregated funds as described in §33-411130(C) in an amount equal to or greater than the amount specified in §33-41-1130(A)(1). [ ] Check the block if the foreign registered limited liability partnership renders professional services as defined in S.C. Code of Laws §33-19-103(7). By checking the box you are certifying that the following statements are true: All of the partners of the registered foreign limited liability partnership are licensed in one or more states to render the professional services which this foreign limited partnership practices and that one or more of its partners is licensed in South Carolina to render such professional services. Form Revised by South Carolina Secretary of State, May 2013 American LegalNet, Inc. www.FormsWorkFlow.com 5. a. Name of Limited Liability Partnership _______________________________________________ b. The foreign registered limited liability partnership is in compliance with the requirements of S.C. Code of Laws §33-41-1130(A)(2); provided, however, that to the extent any such requirements are determined by reference to the number of licensed partners or individuals, such determination shall be made on the basis of the number of partners or individuals who render professional services in South Carolina. The foreign registered limited liability partnership agrees to be subject to the jurisdiction of the Department of Revenue and the South Carolina courts to determine its South Carolina tax liability. The partner or partners executing this application constitute more than a majority in interest of the partners or are otherwise authorized to execute this application. 6. 7. Date Signature of Partner Type or Print Name _______________________________________ Signature of Partner Type or Print Name Filing Checklist Application for a Certificate of Authority to Transact Business/Application to Renew a Certificate of Authority for a Foreign Limited Liability Partnership (filed in duplicate) An original Certificate of Existence, no more than 30 days old, from the state in which the LLP was originally formed must be included. $100.00 made payable to the South Carolina Secretary of State Make sure the proper person has signed the document. Pursuant to S.C. Code of Laws §3341-1110, the application must be executed by a majority in interest of the partners or by one or more partners authorized to execute an application. Self-Addressed, Stamped Return Envelope Return all documents to: South Carolina Secretary of State's Office Attn: Corporate Filings 1205 Pendleton Street, Suite 525 Columbia, SC 29201 NOTE Registering your limited liability partnership name does not, in and of itself, provide an exclusive right to use this name on or in connection with any product or service. Use of a name as a trademark or service mark will require further clearance and registration and be affected by prior use of the mark. For more information, contact the Trademarks Division of the Secretary of State's Office. Form Revised by South Carolina Secretary of State, May 2013 American LegalNet, Inc. www.FormsWorkFlow.com