Arizona Department of State Office of the Secretary of State , Secretary of State State of Arizona 226 Office of the Secretary of StateAnnual Report Pursuant to A.R.S. 247 29-1103 All Partnerships (Liability in Title) SEND BY MAIL TO: Secretary of State, Atten: Limited Partnerships1700 W. Washington Street, FL. 7, Phoenix, AZ 85007-2808 OR return this application in person: PHOENIX - State Capitol Executive Tower, 1700 W. Washington Street, Fl., TUCSON - A rizona State Complex, 400 W. Con g ress, 1st Fl., Suite 141 Office Hours: Monda y throu g h Frida y , 8 a.m. to 5 p.m., except state holida y s. DO NOT WRITE IN THIS SPACE FOR OFFICE USE ONLY SOSBS ARS291103 REV. //201 PLEASE NOTE: A ll correspondence regarding this filing will be sent to the principal office identified on this certificate. This application must be submitted with a self-addressed, stamped envelope with applicable filing fees. INSTRUCTIONS When to use this form: To be filed with an annual report for any partnership with 223liability224 in the title. Reports are due every year between January 1 and April 30. Late Fee: Any annual report received after April 30 is subject to a late- penalty fee. Enclose an additional $25 dollars upon submission. Be Accurate: Complete all applicable fields on this form. Write legibly; or fill out this application online at www.azsos.gov and print it. Submission: Submit this report in duplicate (one original, one copy) with a self-addressed, stamped envelope with payment. Any other matters, please attach additional sheets with filing. Filing Fee and Payment: $3 filing fee; Checks or money orders shall be made payable to the Secretary of State. Credit cards are not accepted. Received after April 30: $25 dollar additional penalty fee. Processing: 2-3 weeks; expedited service fee $25 (). Website: All forms are available on the Secretary of State222s website, www.azsos.gov. Questions? Call (602) 542-6187; in-state/toll-free (800) 458-5842. 1.Partnership information Any Partnership with 223Liability224 in the Title Name of the Partnership on File Secretary of State Registration No. Domestic State of Formation of Foreign Partnership, if applicable Date of formation / / a.Principal office i nformationhis state: Street address (P.O. Box or C/O are unacceptable) City State Zip Code b.Office address maintained in the state of organization AddressCity StateZipCode 2. A gent for service of process information Phone number (include area code) Agent for service of process Optional ( ) Arizona address of agent (P.O. Box or C/O are unacceptable) City State AZZip Code 3.Attestation: I/we, the undersigned, declare under penalty of law, that I/we have examined the attached report and to the best of my/our knowledge, believe it to be true, correct and complete. The names and signatures of each CURRENT general partner: Name of General Partner Signature Month Day Year Name of General Partner Signature Month Day Year Name of General Partner Signature Month Day Year American LegalNet, Inc. www.FormsWorkFlow.com