DO NOT STAPLE Form LP 117 January 2008 Filing Fee: $50 Submit in duplicate. Payment must be made by certified check, cashier’s check, Illinois attorney’s check, Illinois C.P .A.’s check or money order, payable to Secretary of State. Please do not send cash. File # _________________________ Assigned by Secretary of State Department of Business Services Limited Liability Division 501 S. Second St., Rm. 357 Springfield, IL 62756 217-785-8960 www.cyberdriveillinois.com Illinois Secretary of State Department of Business Services Affidavit of Compliance for Service on Secretary of State Please type or print clearly. 1. Limited Partnership Name being served: __________________________________________________________ 2. Title and Number of Case: ________________________________________________________________________________________________ Case Number __________________________________________________ v. ______________________________________________________ First Named Plaintiff First Named Defendant 3. Basis for Service on Secretary of State (check and complete appropriate choice): ❏ a) The Limited Partnership has failed to appoint or maintain a registered agent in Illinois. ❏ b) The Limited Partnership’s Registered Agent cannot be found with reasonable diligence at the registered office in Illinois. ❏ c) The Domestic Limited Partnership’s Certificate of Limited Partnership was cancelled on _______________ , Date (month, day, year) thus the conditions of paragraphs (a) and (b) exist. ❏ d) The Foreign Limited Partnership’s Application for Admission to Transact Business was cancelled on ______________________ , thus the conditions of paragraphs (a) and (b) exist. Date (month, day, year) ❏ e) The Limited Partnership is a Foreign Limited Partnership, which has transacted business in Illinois without having been lawfully admitted to do so (contrary to provisions of the Revised Uniform Limited Partnership Act of 1986 and the Uniform Limited Partnership Act of 2005). 4. Address to which the undersigned has transmitted, by registered or certified mail, notice of the service on the Secretary of State, and a copy of the process, notice or demand and accompany papers: Street Address City, State, ZIP County , Printed by authority of the State of Illinois. April 2008 — 200 — CLP 2.7 American LegalNet, Inc. www.FormsWorkflow.com Form LP 117 5. File Number assigned by Secretary of State: ________________________________________________________ 6. Federal Employer Identification Number (F.E.I.N.): ________________________________________________________ Former Partnership Name 7. Title of Court and County in which action, suit or proceeding has commenced:__________________________ ______________________________________________________________________________________________ 8. Title of Document being served: ____________________________________________________________________________ 9. A copy of the process, notice or demand, together with any papers required by law to be delivered with service, are hereby attached. 10. number additional pages are attached for filing with this form. (Applicant must complete this blank.) Signature Date Name (type or print) Daytime Phone Number Deliver the following to the Secretary of State: • Copy of the process, notice or demand. • Copy of any papers to be served therewith • Affidavit of Compliance • $50 filing fee Transmit to the Limited Partnership being served by certified or registered mail: • Copy of the process, notice or demand • Copy of any papers to be served therewith • Notice of the service on the Secretary of State • Affidavit of Compliance Transmittal to the Limited Partnership being served shall be: • At the last registered office of the Limited Partnership as shown on the records of the Secretary of State; and • At such address the use of which the person instituting the action, suit or proceeding knows, or on the basis of reasonable inquiry, has reason to believe, is most likely to result in actual notice. This affidavit will be stamped with the date of filing and returned to the affiant as the only proof of filing. Printed by authority of the State of Illinois. April 2008 — 200 — CLP 2.7 American LegalNet, Inc. www.FormsWorkflow.com