DEPARTMENT OF CONSUMER AND REGULATORY AFFAIRS BUSINESS AND PROFESSIONAL LICENSING ADMINISTRATION CORPORATIONS DIVISION Government Of the District of Columbia P.O. Box 92300 WASHINGTON, D.C. 20090 CERTIFICATE OF CANCELLATION OF LIMITED LIABILITY PARTNERSHIP Pursuant to the provisions of the District of Columbia Uniform Partnership Act of 1996, We, the undersigned partners present this Statement of Qualification of Foreign Limited Liability Partnership for filing. We acknowledge that the making of a false statement in this application is punishable by criminal penalties under section 404 of the District of Columbia Theft and White Collar Crime Act of 1982 as amended. 1. Name of the Limited Liability Partnership: ________________________________________ ________________________________________________________________________ 2. Date of filing of the certificate of Limited Liability Partnership: _______________________________________ 3. Reason for filing the certificate of cancellation: _______________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 4. Effective date of cancellation: ________________ THIS CERTIFICATE MUST BE SIGNED BY ALL PARTNERS WHO ARE AUTHORIZED BY A MAJORITY IN INTEREST: Signature, name and address of each new partner: ________________________________________________________________________ ______ Signature, Printed Name (Type or Print) ________________________________________________________________________ Address ________________________________________________________________________ Signature, Printed Name (Type or Print) ________________________________________________________________________ Address American LegalNet, Inc. www.USCourtForms.com ________________________________________________________________________ Signature, Printed Name (Type or Print) ________________________________________________________________________ Address (Attach additional signatures and names if necessary) FILE IN DUPLICATE WITH ORIGINAL SIGNATURES ON EACH Department Use Only: Filing Fee: $100.00 [ ] Date Filed _________ By: _________________ For General Information Call: The Corporations Division - (202) 442-4432 Please check our corporate website to view organizations required to register, to search business names, to obtain step-by-step guidelines to register an organization, to search registered organizations, and to download forms and documents. Simply log onto our website at www.dcra.dc.gov, click on “Corporate Registrations” and procedure as prompted. To ensure timely and accurate processing of this document, mail all required forms and payment to: Department of Consumer and Regulatory Affairs Corporations Division P.O. Box 92300 Washington, D.C. 20090 For Overnight Delivery send to: Corporate Bank of America Attention: D.C. Government Wholesale Lockbox # 92300 Mail code MD4-301-18-04 18th floor 225 North Calvert Street Baltimore, Maryland 21202 American LegalNet, Inc. www.USCourtForms.com