Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773-4845 STATEMENT OF QUALIFICATION OF A DOMESTIC LIMITED LIABILITY LIMITED PARTNERSHIP Please Type or Print Clearly in Ink Please submit one Original and one Photocopy FILING FEE: $100 payable to SECRETARY OF STATE Telephone # ____________________ FAX # _______________________ 1. The name of the partnership is _____________________________________________________________________ ______________________________________________________________________________________________ The name shall contain the words “Registered Limited Liability Limited Partnership”, or “L.L.L.P.”, or “LLLP” as the last words of the name. 2. The street address of the partnership’s chief executive office. ______________________________________________________________________________________________ Street Address City State ZIP+4 ______________________________________________________________________________________________ Mailing Address (Optional) City State ZIP+4 3. If the address listed in number 2 is not a South Dakota street address question number 4 must be completed. 4. The South Dakota Registered Agent name ____________________________________________________________ ______________________________________________________________________________________________ Street Address (Required to be a South Dakota Address) City State ZIP+4 ______________________________________________________________________________________________ Mailing Address (Optional – Required to be a South Dakota Address) City When listing a Commercial Registered Agent, please state their CRA #. This number can be obtained from the Commercial Registered Agent. State ZIP+4 _______________________________ 5. The partnership elects to be a limited liability limited partnership. 6. The deferred effective date of the registration if it is not to be effective upon filing of the registration ____________________________________________ American LegalNet, Inc. www.FormsWorkflow.com I declare under penalty of perjury that the contents of the above statement are accurate. Statement must be signed by at least two partners. Dated ____________________________ ______________________________________________ (Signature of a partner) ______________________________________________ (Printed Name) Dated ____________________________ ______________________________________________ (Signature of a partner) ______________________________________________ (Printed Name) LLLPregistration July2008 American LegalNet, Inc. www.FormsWorkflow.com