Amendment or Correction to Limited Liability Partnership Annual Report , Secretary of State P.O. Box 94608 Lincoln, NE 68509 (402)471-4079 1)Exact Name of Limited Liability Partnership: 2)Year of Annual Report to be amended or corrected: Only complete the following information you wish to amend or correct. 3)Address of Office in Nebraska: Street Address City State Zip 4)The partnership engages in the practice of law: Yes No(if 223Yes224 you must attach a current certificate of authority from the Nebraska Supreme Court and include an additional$15.00 filing fee.) Signature Printed Name Title Date FILING FEES: $15.00 (plus $5.00 for any additional pages) Make check payable to: Secretary of State. Revised Neb. Rev. Stat. 247 67-456 Page 1 American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS FOR COMPLETING LIMITED LIABILITY PARTNERSHIP AMENDMENT OR CORRECTION TO ANNUAL REPORT The following information must be completed: 1. Exact Name of Limited Liability Partnership: As stated in the statement of qualification or most recent amendment. 2. Year of Annual Report to be amended or corrected. A separate form and fee must be submitted for each Annual Report to be amended or corrected. Only complete the following information being amended or corrected. 3. Address of Office in Nebraska: Provide street address. 4. The partnership engages in the practice of law: Check one. If the partnership engages in the practice of law you must attach a current certificate of authority from the Nebraska Supreme Court and include an additional $15.00 filing fee. The following information on the annual report cannot be amended or corrected on this form, but may be changed by filing the designated information below: Registered Agent and/or Registered Office: To change the Registered Agent and/or Office you must file an amendment to the partnerships Statement of Qualification. Chief Executive Office: To change the Chief Executive Office address you must file an amendment to the partnerships Statement of Qualification. State or jurisdiction under whose laws the limited liability partnership is formed: you must file an amendment to the partnerships Statement of Qualification. Page 2 American LegalNet, Inc. www.FormsWorkFlow.com