DO NOT STAPLE Form LP 902.5 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. Department of Business Services Limited Liability Division 501 S. Second St., Rm. 357 Springfield, IL 62756 217-785-8960 www.cyberdriveillinois.com Correspondence regarding this filing will be sent to the registered agent of the Limited Partnership unless a selfaddressed, stamped envelope is included. Illinois Secretary of State Department of Business Services Amended Application for Certificate of Authority (Foreign Limited Partnership or LLLP) Please type or print clearly. 1. Limited Partnership Name: ___________________________________________________________________ ___________________________________________________________________ 2. File Number Assigned by Secretary of State: ________________________________________________________ 3. State or Jurisdiction of Organization: ______________________________________________________________ 4. Federal Employer Identification Number (F.E.I.N.): __________________________________________________________ 5. Alternative Assumed Name, if any, under which the Limited Partnership is transacting business in Illinois: __________________________________________________________________________________________________ 6. The Application for Admission to Transact Business is amended as follows: (Check applicable changes and specify in item 7 on reverse. For address changes, P Box alone is unacceptable.) .O. ❏ a) Admission of a new General Partner (give name and business address in item 7). ❏ b) Withdrawal of a General Partner (give name in item 7). ❏ c) Change in General Partner’s Name and/or business address (give new name and address in item 7). ❏ d) Change in Limited Partnership’s Name (give new name in item 7). ❏ e) Change in Date of Dissolution (give new date in item 7). ❏ f) Other (give information in item 7). ❏ g) Dissociation of General Partner (give name in item 7). Printed by authority of the State of Illinois. April 2008 — 200 — CLP 10.11 American LegalNet, Inc. www.FormsWorkflow.com Form LP 902.5 7. Item #6 changes (continued) For additional space, continue in the same format on a plain white 8.5x11 sheet. Names and Business Addresses of General Partners The undersigned affirms, under penalties of perjury, that the facts stated herein are true. The original Amended Application for Certificate of Authority must be signed by a General Partner, all new General Partners, and any or all dissociated General Partners. 1. 2. Signature Signature Name and Title (type or print) Name and Title (type or print) General Partner Name if corporation or other entity General Partner Name if corporation or other entity Street Address City, State, ZIP County , 3. Street Address City, State, ZIP County , Signature Name and Title (type or print) General Partner Name if corporation or other entity 4. Signature Name and Title (type or print) General Partner Name if corporation or other entity Street Address Street Address City, State, ZIP County , City, State, ZIP County , Signatures must be in black ink on an original document. Carbon copy, photocopy or rubber stamp signatures may only be used on conformed copies. Printed by authority of the State of Illinois. April 2008 — 200 — CLP 10.11 American LegalNet, Inc. www.FormsWorkflow.com