Kentucky Secretary of State TREY GRAYSON _______________________________________________________________________________________________________________ Division of Corporations BUSINESS FILINGS Statement of Partnership Authority SPA P.O. Box 718 Frankfort, KY 40602 (502) 564-2848 http://www.sos.ky.gov/ _______________________________________________________________________________________________________________ 1. Name of the partnership: 2. Complete address of its chief executive office (address must be a street address): _______________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ 3. Complete address of the partnership’s office in the state of Kentucky, if one exists: _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ 4. Names and mailing addresses of all partners, or the name and mailing address of an agent appointed to maintain a list of names and mailing addresses of all partners (please designate if partner or agent): _____________________________________________________ ______________________________________________________ _____________________________________________________ ______________________________________________________ _____________________________________________________ ______________________________________________________ 5. The partner(s) authorized to execute an instrument transferring real property held in the name of the partnership: 6. The partnership filed a Statement of Qualification on ____________________________; or a Statement of Foreign Qualification on __________________________________ with the Kentucky Secretary of State. _________________________________________________________________________________________________________ 7. The authority or limitation on authority of some or all partners to enter into other transactions on behalf of the partnership is as follow: _________________________________________________________________________________________________________ We declare under penalty of perjury under the laws of the state of Kentucky that the foregoing is true and correct. Executed by two partners on _________________________________ (Day/Month/Year). _____________________________________________________ (Signature) _____________________________________________________ (Print or Type Name) ______________________________________________________ (Signature) ______________________________________________________ (Print or Type Name) Instructions: Submit this form with one (1) exact or conformed copy. The filing fee is $40.00. Please make check payable to the “Kentucky State Treasurer.” All information must be completed or this document will not be accepted for filing. SPA (07/2006) American LegalNet, Inc. www.USCourtForms.com