Instructions: SS-9419 1 | Page Instructions: Form SS-9419 Statement of Withdrawn or Rescinded Dissolution of Limited Partnership Business Services Division Tre Hargett, Secretary of State State of Tennessee Submission Options A Statement of Withdrawn or Rescinded Dissolution of Limited Partnership may be filed using one of the following methods: Paper submission: A blank Statement of Withdrawn or Rescinded Dissolution of Limited Partnership form may be obtained by going to sos.tn.gov and entering SS-9419 in the search bar; by emailing the Secretary of State at TNSOS.CORPINFO@tn.gov, or by calling 615-741-2286. The Statement of Withdrawn or Rescinded Dissolution of Limited Partnership should be typed or hand printed in dark blue or black ink. Walk-in: A blank Statement of Withdrawn or Rescinded Dissolution of Limited Partnership may be obtained in person at the address listed below. If submitting by mail, send the completed form and filing fee together in the same envelope. Mail to: Tennessee Secretary of State ATTN: Corporate Filing 312 Rosa L. Parks Ave FL 6 Nashville TN 37243 Fill in form very carefully; mistakes may have important legal consequences. If you have questions, consult your attorney. The filing office cannot provide legal advice. Completing the Form Pursuant to T.C.A. 247 61-3-803 of the Tennessee Uniform Limited Partnership Act of 2017, enter the following information: 1. Control Number: Enter the control number assigned to the Limited Partnership. To find entity information, including the Secretary of State control number, visit: https://tnbear.tn.gov/ECommerce/FilingSearch.aspx . American LegalNet, Inc. www.FormsWorkFlow.com Instructions: SS-9419 2 | Page 2. Limited Partnership Name: Enter the exact legal name of the Limited Partnership. To find entity information, including the exact legal name, visit: https://tnbear.tn.gov/ECommerce/FilingSearch.aspx . 3. The Limited Partnership has: Select either the dissolution has been withdrawn (it never took effect), or the dissolution has been rescinded (also record the date the dissolution took effect). 4. The withdrawal or rescinding of dissolution was approved by the affirmative vote or consent of each partner on (date: month/day/year). Enter the date the partners agreed to withdraw or rescind the dissolution. Signature The Statement of Withdrawn or Rescinded Dissolution of Limited Partnership must be signed and dated by at least one general partner listed in the Certificate of Limited Partnership. Type or print the signature name and title of each signer. Failure to do so will result in the form being rejected. Filing Fee The filing fee is $20.00 per Statement of Withdrawn or Rescinded Dissolution of Limited Partnership. Make check, cashier222s check or money order payable to the Tennessee Secretary of State. Cash is only accepted for walk-in filings. Forms submitted without the proper filing fee, or made payable to an entity other than the Tennessee Secretary of State will be rejected. American LegalNet, Inc. www.FormsWorkFlow.com en-USPursuant to the provisions of T.C.A. 247 61-3-803 of the Tennessee Uniform Limited Partnership Act of en-US2017, the undersigned Limited Partnership submits the following Statement of Withdrawn or Rescinded en-USDissolution:en-US1. Control Number:en-US2. Limited Partnership Name:en-US3. The Limited Partnership has:en-US en-US en-US)en-USen-US each partner on en-USThe statement must be signed by at least one general partner.en-USen-USRDA 2135en-USAll information on this form is public record.en-USDateen-USSignature en-USTitle/Signer222s Capacity en-USPrinted Name en-USDateen-USSignature en-USTitle/Signer222s Capacity en-USPrinted Name en-USen-US Tre Hargett en-USSecretary of Stateen-USDivision of Business Servicesen-USDepartment of Stateen-USState of Tennesseeen-USATTN: Corporate Filingen-US312 Rosa L. Parks Ave, 6th FLen-USNashville, TN 37243-1102en-US(615) 741-2286en-USen-USSS-9419 en-USFiling Fee: $20.00 en-USSTATEMENT OF WITHDRAWN OR RESCINDED en-USDISSOLUTION OF LIMITED PARTNERSHIP en-USen-US-en-USSubmitter Name: American LegalNet, Inc. www.FormsWorkFlow.com