COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. STATE OF SOUTH CAROLINA : Calendar No. SECRETARY OF STATE Plaintiff(s) : JUDICIAL SUBPOENA LIMITED LIABILITY COMPANY -againstANNUAL REPORT: FOR THE YEAR OF_________ : : TYPE OR PRINT CLEARLY IN BLACK INK The South Carolina Limited Liability Company or Foreign Limited:Liability Company hereby delivers to the Defendant(s) . .Secretary. of. State .its. annual. report. which information .is .current .as of the date of this report. This annual ....... . .... . ..... .... .............. . ..... . report is being filed in conformity with Section 33-44-211 of the 1976 South Carolina Code of Laws, as amended. 1. Name of THE STATE OF company: THE PEOPLE OF the limited liability NEW YORK TO [ ] Check this box if no information has changed since the filing of the original articles of organization or the most recently filed annual report. 2. The GREETINGS:company's taxable year end: ________________________ *(see #3 under filing instructions) (This must be completed) WE COMMAND YOU, thatThe business and excuses being laid aside, you and each of you attend before 3. Check the appropriate box. all applicant is: , the Honorable at the Court County ofa. [ ] A limited liabilitylocated at organized under the laws of South Carolina, (a domestic company limited liability company). in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the b. [ ] A foreign limited liability company organized in another state or jurisdiction qualified to transact business in South Carolina. This foreign limited liability company is organized under the laws of_________________________________________________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whosestreet address of the current designatedmaximum penalty of $50 and all damages sustained as a 4. (a) The behalf this subpoena was issued for a office in South Carolina is: result of your failure to comply. _________________________________________________________________________ Street Address Witness, Honorable , one of the Justices of the _________________________________________________________________________ City County Zip Code Court in County, day of , 20 (b) The name of the company's current agent for service of process is: (Attorney must sign above and type name below) _______________________________________________________________________ Name I hereby consent to the appointment as registered agent Attorney(s) for Signature of Registered Agent Office and in South Carolina is: (c) The street address of the current agent for service of processP.O. Address _________________________________________________________________________ Street Address Telephone No.: _________________________________________________________________________ Facsimile No.: City County E-Mail Address: Mobile Tel. No.: Zip Code American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : ________________________________ Index No. Name of Limited Liability Company : : Plaintiff(s) 5. Calendar No. JUDICIAL SUBPOENA -against: The address of the limited liability company's principal office is: : _____________________________________________________________________________ Street Address : _____________________________________________________________________________ City County Zip Code Defendant(s) : ...................................................... 6. [ ] Check this box only if the company has managers. If the company has managers, list the names and business addresses of the managers. THE PEOPLE OF THE STATE OF NEW YORK a. ___________________________________________________________________________ Name TO ___________________________________________________________________________ Business Address ___________________________________________________________________________ GREETINGS: City State Zip Code WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County ofb. ___________________________________________________________________________ Name in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned ___________________________________________________________________________ date, to testify and give evidence as a witness in this action on the part of the Business Address ___________________________________________________________________________ City Zip Code Your failure to comply with this subpoena isState punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. c. ___________________________________________________________________________ Name Witness, Honorable , one of the Justices of the ___________________________________________________________________________ Court in County, day of , Address Business 20 ___________________________________________________________________________ City State Zip Code (Attorney must sign above and type name below) d. ___________________________________________________________________________ Name Attorney(s) for ___________________________________________________________________________ Business Address ___________________________________________________________________________ City Date ______________________ State Office and P.O. Address Zip Code ______________________________________ Telephone Signature No.: Facsimile No.: E-Mail Address: ______________________________________ Name Mobile Tel. No.: Capacity American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : ________________________________ Index No. Name of Limited Liability Company : Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA FILING INSTRUCTIONS : 1. Two copies of this form, the original and either a duplicate original or a conformed copy, must be filed. 2. If space on this form is insufficient, please attach additional sheets containing a reference to the appropriate paragraph in this form, or prepare this using a computer disk, which will allow for expansion of space on this form. : : 3. .... 4. *The first annual report must be delivered to the Secretary of State between January first and April first of the calendar year after which the limited liability company was organized or the foreign company was first authorized to transact business in Defendant(s) : . South. Carolina. .Subsequent.annual .reports . . . . be. delivered to.the Secretary of State on or before the fifteenth day of the . . . . . . . . . . . . . . . . . . . . . . . . must . . . . . . . . . . . . . . . fourth month following the close of the limited liability company's taxable year. If management of this South Carolina or foreign limited liability company is vested in a manager, a manager shall execute this form. If management is vested in the members, a member shall execute this form. Specify in which capacity the person is signing. THE PEOPLE OF THE STATE OF NEW YORK 5. TO This form must be accompanied by the filing fee of $10.00 payable to the Secretary of State. Return to: Secretary of State P.O. Box 11350 Columbia, SC 29211 GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of REPORT.doc LLC- ANNUAL Form Revised by South Carolina in room , on the day of , 20 , at o'clock in the noon, January 2000 Secretary of State,and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com