Form August 2012 LP 115 Illinois Uniform Limited Partnership Act FILE # This space for use by Secretary of State. Secretary of State Department of Business Services Limited Liability Division 501 S. Second St., Rm. 357 Springfield, IL 62756 217-524-8008 www.cyberdriveillinois.com Payment may be made by check payable to Secretary of State. If check is returned for any reason this filing will be void. Please do not send cash. Change of Designated Office or Agent for Service of Process SUBMITINDUPLICATE Please type or print clearly. Filing Fee: $50 Approved: 1. Limited Partnership Name: ______________________________________________________________ 2. Foreign Alternate Name, if any: ____________________________________________________________ ____________________________________________________________________________________ Instructions for completing items 3 and 4: Section 111 of the Uniform Limited Partnership Act (2001) requires that a designated office be maintained, at which the records of the limited partnership are to be kept. With respect to a domestic limited partnership, the designated office is first established upon filing the Certificate of Limited Partnership. With respect to a foreign limited partnership, the designated office is the principal office. Complete item 3 with the current address of the designated office, and item 4 with the address as changed. If there is no change in the address of the designated office, insert N/A in item 4. 3. Street and Mailing Address of current Designated Office at which the records required by Section 111 are kept: ______________________________________________________________________________________ Street Address (P.O.Box alone is unacceptable.) ______________________________________________________________________________________ City, State, ZIP 4. If changed, Street and Mailing Address of new Designated Office at which the records required by Section 111 will be kept: ______________________________________________________________________________________ Street Address (P.O. Box alone is unacceptable.) ______________________________________________________________________________________ City, State, ZIP Instructions for completing items 5 and 6: Section 114 of the Uniform Limited Partnership Act (2001) requires that an agent for service of process residing within the State of Illinois be designated and continuously maintained. Complete item 5 with the name and address of the current agent for service of process and item 6 with the agent and address as changed. If there is no change to the agent or address for service of process, insert N/A in item 6. 5. Name, Street and Mailing Address of Current Agent for Service of Process: Agent: ________________________________________________________________________________ Name Address: ______________________________________________________________________________ Street Address (P.O. Box alone is unacceptable.) IL ____________________________________________________________________________________ City ZIP Printed on recycled paper. Printed by authority of the State of Illinois. August 2012 -- 1 -- CLP 30.5 American LegalNet, Inc. www.FormsWorkFlow.com Form LP 115 6. If changed, new Name and/or Street and Mailing Address of Agent for Service of Process: Agent:________________________________________________________________________________ Name Address: ______________________________________________________________________________ Street Address (P.O. Box alone is unacceptable.) IL ____________________________________________________________________________________ City ZIP The undersigned affirms, under penalties of perjury, that the facts stated herein are true, correct and complete. A General Partner must sign this form. Date: ____________________________________ Month, Day, Year ________________________________________ Signature ________________________________________ Name and Title (type or print) ________________________________________ General Partner Name if a corporation or other entity ________________________________________ City, State, ZIP, County __________________________________________ Name and title (type or print) Signatures must be in black ink on an original document. Carbon copy, photocopy or rubber stamp signatures may only be used on conformed copies. American LegalNet, Inc. www.FormsWorkFlow.com