COMMONWEALTH OF KENTUCKY ALISON LUNDERGAN GRIMES, SECRETARY OF STATE _________________________________________________________________________________________________________________________ Division of Business Filings Business Filings PO Box 718 Frankfort, KY 40602 (502) 564-3490 www.sos.ky.gov Withdrawal Registered Limited Liability Partnership (Domestic Partnership) WLP __________________________________________________________________________________________ Pursuant to the provisions of KRS 14A and KRS 362.555, the undersigned hereby withdraws the statement of registration on behalf of the registered limited liability partnership named below and, for that purpose, submits the following statements: 1. The name of the registered limited liability partnership is: ________________________________________________________________________________________________. The name must be identical to the name on record with the Secretary of State.) 2. The date the limited liability partnership filed a statement of registration with the Secretary of State is ______________. 3. The limited liability partnership hereby withdraws its statement of registration with the Secretary of State. 4. This application will be effective upon filing, unless a delayed effective date and/or time is provided. The effective date or the delayed effective date cannot be prior to the date the application is filed. The date and/or time is______________. (Delayed effective date and/or time) I declare under penalty of perjury under the laws of Kentucky that the forgoing is true and correct. __________________________________________________________________________________________________ Signature of Partner Printed Name Date (01/12) American LegalNet, Inc. www.FormsWorkFlow.com FILING INSTRUCTIONS WITHDRAWAL OF REGISTERED LIMITED LIABILITY PARTNERSHIP NAME Use the exact name of the business entity as registered on file with the Office of the Secretary of State. REGISTRATION DATE The registration date is the date the limited liability partnership registered with the Secretary of State. PRINCIPAL OFFICE ADDRESS The principal office is the office (in or out of this state) so designated in writing with the Office of the Secretary of State where the principal designated office of the business entity is located. This address is where all correspondence from the Office of the Secretary of State (See Document Delivery) will be mailed. DOCUMENT DELIVERY All documents will be sent to the return address on the outer envelope. If no address is found, the documents will be sent to the principal office. If the applicant wishes for correspondence from the Office of the Secretary of State to be sent to someone other than those above, a request must be submitted in writing affirming that request. All other communication and notification shall follow the process prescribed in Kentucky Revised Statute. DELAYED EFFECTIVE DATE AND TIME The document will be effective on the date and time of filing, unless a delayed effective date and/or time is specified. The effective date th or the delayed effective date cannot be prior to the date the application is filed. A delayed effective date may not be later than the 90 day after the date of filing. WHO MAY SIGN This document must be signed by a majority in interest of the partners or by one or more of the partners authorized to execute the withdrawal. NUMBER OF COPIES If filing via mail or in person, one exact or conformed copy of the documents with the filing fee must be submitted to the ad dress below. To make a copy of the filing for delivery to the local county clerk's office, visit www.sos.ky.gov and print a copy from the organization search tool. FILING FEE There is no filing fee for this document. MAILING ADDRESS Alison Lundergan Grimes Office of the Secretary of State P.O. Box 718 Frankfort, KY 40602-0718 OFFICE LOCATION Room 154, Capitol Building 700 Capital Avenue Frankfort, KY 40601 Hours of Operation: 8:00 AM-4:30 PM ET CONTACT INFORMATION If you have any questions, please feel free to visit our website at www.sos.ky.gov or call 502-564-3490. (01/12) American LegalNet, Inc. www.FormsWorkFlow.com