Kentucky Secretary of State TREY GRAYSON _________________________________________________________________________________________________ Division of Corporations BUSINESS FILINGS Statement of Registration or Renewal of Limited Liability Partnership P.O. Box 718 Frankfort, KY 40602 (502) 564-2848 http://www.sos.ky.gov/ REG ________________________________________________________________________ Pursuant to the provisions of KRS Chapter 362, the undersigned hereby applies for registration or renewal as a limited liability partnership on behalf of the partnership named below and for that purpose submits the following statements: 1. Registration Renewal (CHECK ONE) 2. The name of the limited liability partnership is _____________________________________________________________________________. 3.The state of formation for the Limited Liability Partnership is Kentucky. 4.The principal office address is _____________________________________________________________________________________. Address City State Zip Code 5.The number of partners is_____________________________. 6. The names of the partners are ____________________________________________________________________ Name of Partner ________________________________________________________________ Name of Partner ____________________________________________________________________ Name of Partner ________________________________________________________________ Name of Partner ____________________________________________________________________ Name of Partner ________________________________________________________________ Name of Partner (Attach a continuation sheet , if necessary) 7.The nature of the business of the partnership is _____________________________________________________________________________ (Brief Description) _____________________________________________________________________________ The statement is executed by __________________________ Signature Print or type name and title __________________________ Signature Signature REG (01/08) Date ___________________________ ____________________ Print or type name and title __________________________ Date ___________________________ ____________________ Print or type name and title __________________________ Signature ___________________________ ____________________ Date ___________________________ ____________________ Print or type name and title Date (See attached sheet for instructions) American LegalNet, Inc. www.FormsWorkflow.com Registration or Renewal of Limited Liability Partnership Filing Instructions deadline, since the Secretary of State is not obliged to send renewal statements. If the limited liability partnership is applying for registration or renewal as a domestic LLP, check the appropriate block. REGISTRATION OR RENEWAL NAME OF REGISTERED LIMITED LIABILITY PARTNERSHIP A limited liability partnership name must contain the words "Registered Limited Liability Partnership" or the abbreviation "LLP" as the last words or letters of its name. PRINCIPAL OFFICE ADDRESS State the principal office address. NUMBER OF PARTNERS State the total number of partners of the partnership. NAMES OF PARTNERS State the names of all partners of the partnership. Attach a continuation sheet, if necessary. NATURE OF BUSINESS The partnership must give a brief description of the nature of the business in which it is engaged. WHO MAY SIGN The statement must be signed by a majority in interest of the partners or by one or more partners authorized to execute the statement. NUMBER OF COPIES Submit the original signed statement and one exact or conformed copy. (May be a photocopy) One file-stamped copy will be returned to the registered limited liability partnership as evidence of filing. FILING FEES The filing fee for registration or renewal statement is $200.00. Your check should be made payable to the "Kentucky State Treasurer". MAILING ADDRESS OFFICE LOCATION Trey Grayson Secretary of State P. O. Box 718 Frankfort, KY 40602-0718 Room 154, Capitol Building 700 Capital Avenue Frankfort, KY 40601 WEB SITE ADDRESS Our home page address is www.sos.ky.gov Click on “On Line Business Database” for information on status of all business entities in Kentucky. Forms are also available on our web site. For name availability, call (502) 564-2848, press 2, and then press1. For further information, call (502) 564-2848, press 2, and then press 3 or try our web site. NOTE: Registration of a limited liability partnership is effective for one year from the date it is filed with the Secretary of State. Registration must be renewed annually. A renewal statement must be filed with the Secretary of State during the sixty–day period before the statement expires. A renewal statement filed with the Secretary of State renews the registration for one year from the original file date of registration. The partnership should arrange its own reminder of the renewal American LegalNet, Inc. www.FormsWorkflow.com