District of Columbia Government Corporations Division Statement of Dissolution for Domestic Limited Liability Partnership Form DLLP-4, Version 2, June 2010. Use this form (DLLP-4) to dissolve Domestic Limited Liability Partnership in the District of Columbia. ENTITY TYPE FILING FEE Domestic Limited Liability Partnership Refer to Corporate Fee Schedule posted online. Under the provisions of the District of Columbia Uniform Partnership Act of 1996, We, the undersigned partners, present this Statement of Dissolution of Domestic Limited Liability Partnership for filing. 1. Name of Limited Partnership 2. Date of Filing of Statement of Qualification of Limited Liability Partnership 3. Reason for filing statement of dissolution: Dissolution of the limited liability partnership; winding up of partnership has commenced. There are no remaining limited partners. 4. Effective Date of Dissolution if not upon filing. 5. The following general partners have consented and signed this application: TITLE NAME SIGNATURE If you sign this application, you agree that you understand that anyone who makes a false statement anywhere on it can be punished by criminal penalties of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC § 22-2405. Mail all forms and required payment to: Department of Consumer and Regulatory Affairs Corporations Division PO Box 92300 Washington, DC 20090 Phone: (202) 442-4400 Please check dcra.dc.gov to view organizations required to register, to search business names, to get step-by-step guidelines to register an organization, to search registered organizations, and to download forms and documents. Just click on "Corporate Registrations." American LegalNet, Inc. www.FormsWorkFlow.com