STATE OF SOUTH CAROLINA SECRETARY OF STATE RESIGNATION OF AGENT FOR SERVICE OF PROCESS OF A SOUTH CAROLINA OR FOREIGN LIMITED LIABILITY COMPANY TYPE OR PRINT CLEARLY IN BLACK INK Pursuant to Section 33-44-110 of the 1976 South Carolina Code of Laws, as amended, the undersigned agent for service of process of the Limited Liability Company submits the following statement of registration. 1. The name of the Limited Liability Company that is affected by this document is: ________________________________________________________________________________ 2. That the undersigned resigns as the registered agent of the above named Limited Liability Company st effective the 31 day after this statement of resignation is filed in the Office of the Secretary of State. Date ______________________ ______________________________________ Signature of Agent ______________________________________ Type or Print Name FILING INSTRUCTIONS 1. 2. File three copies of this form, the original and either two duplicate original or conformed copies. (The Secretary of State shall mail a copy of this statement to the designated office and also to the principal office. This form must be accompanied by the filing fee of $10.00 payable to the Secretary of State. Return to: Secretary of State 1205 Pendleton Street, Suite 525 Columbia, SC 29201 LLC-RESIGNATION OF AGENT FOR SERVICE OF PROCESS OF A SC OR FRN LLC.doc Form Revised by South Carolina Secretary of State, May 2011 American LegalNet, Inc. www.FormsWorkFlow.com