11 F0300 - Page 1 of 3 OFFICE OF THE MISSISSIPPI SECRETARY OF STATE P.O. BOX 136, JACKSON, MS 39205-0136 (601) 359-1633 Application for Registration of Foreign Limited Partnership Pursuant to the provisions of Section 79-14-902 of the Mississippi Code of 1972, as amended, the undersigned Limited Partnership applies for Registration to transact business as follows: 1. Name of Limited Partnership Business Email Address _________________________________ 2. Formed under laws of the jurisdiction or state of Date Formed 3. Street Address of the Office required in the state or country under the laws in which it was organized (complete if applicable) Address City, State, ZIP5, ZIP4 4. Street Address of the Principal Office in the state or country under the laws in the state in which it was organized (complete if office address is not required) Address City, State, ZIP5, ZIP4 5. Name, Street and Mailing Address of the Registered Agent in Mississippi Name Physical Address P.O. Box City, State, ZIP5, ZIP4 Rev. 5/2009 American LegalNet, Inc. www.FormsWorkFlow.com 11 F0300 - Page 2 of 3 OFFICE OF THE MISSISSIPPI SECRETARY OF STATE P.O. BOX 136, JACKSON, MS 39205-0136 (601) 359-1633 Application for Registration of Foreign Limited Partnership 6. A list of the names and addresses of the limited partners and their contributions, together with an undertaking by the foreign limited partnership to keep those records until the foreign limited partnership's registration in this state is cancelled, is kept at Address City, State, ZIP5, ZIP4 7. Name and Address of General Partner 1 Physical Address P.O. Box City, State, ZIP5, ZIP4 8. Name and Address of General Partner 2 Physical Address P.O. Box City, State, ZIP5, ZIP4 9. Name elected to use in Mississippi By: Signature (Please keep writing within blocks) Rev. 5/2009 American LegalNet, Inc. www.FormsWorkFlow.com 11 F0300 - Page 3 of 3 OFFICE OF THE MISSISSIPPI SECRETARY OF STATE P.O. BOX 136, JACKSON, MS 39205-0136 (601) 359-1633 Application for Registration of Foreign Limited Partnership Printed Name Title Acknowledgment State County I, a Notary Public, do hereby certify that on the day of 19 , , who being by me first duly sworn, declared that he is a general partner of the above Limited Partnership and personally appeared before me declaring that the statements herein contained are true. Notary Seal (Keep seal within block) Notary Public My commission expires Rev. 5/2009 American LegalNet, Inc. www.FormsWorkFlow.com