District of Columbia Government Corporations Division Statement of Qualification for Domestic Limited Liability Partnership Form DLLP-1, Version 2, July 2010. Use this application (DLLP-1) to form a Domestic Limited Liability Partnership in the District of Columbia. ENTITY TYPE Domestic Limited Liability Partnership FILING FEE 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 Qualification of Domestic Limited Liability Partnership for filing. 1. Entity Name 2. Address of partnership in the District. (If partnership does not have address in DC, then a Registered Agent is required) 3. Name of Registered Agent and address of registered office in the District. (Attach Form RA-1: Registered Agent's Written Consent) 4. Effective date will be upon filing unless deferred date is selected: 5. List all partners (attach list if you need more space) TITLE NAME 6. Partner executing this form ADDRESS 7. 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 District of Columbia Government Corporations Division Registered Agent Written Consent Form RA-1, July 2010. Use this form to appoint a Registered Agent for an entity. Choose Option A or B, but not both. There is no filing fee for this form. Under DC Official Code (DCOC) Titles 29 and 41, a Registered Agent (RA) must be: A bona fide resident of the District of Columbia (District), or A for-profit corporation, authorized by articles of incorporation or certificate of authority to act as agent. Limited Liability Companies (LLCs) and Limited Liability Partnerships (LLPs) may not act as RAs. RA's address must be physical street address in the District of Columbia. Entities may not act as their own RAs. A. By a District Of Columbia resident: I, a bona fide District resident, consent to act as a RA for the entity below. Name of Resident Address of Resident Entity Name Signature B. By a legally authorized corporation: The authorized corporate Registered Agent in the District, by the signatures of its President/VicePresident and Secretary/Assistant Secretary, agrees to act as RA for the entity below. Name of Corporation Address Entity Name President or Vice-President Signature Secretary or Assistant Secretary Signature If you sign this form, 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