COMMONWEALTH OF VIRGINIA UPA-132 STATE CORPORATION COMMISSION (07/03) STATEMENT OF REGISTRATION AS A DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP The undersigned presents this statement for filing pursuant to 50-7 3.132 of the Code of Virginia. MARK ONE: This statement of registration is for o a partnership OR o a limited partnership. 1. The name of the partnership or limited partnership (applicant ) that hereby applies for status as a domestic registered limited liability partnership is ___________________________________________________________________ _____________________. 2. The applicants SCC ID number (if one has been previously issued ) is ________________________________. 3. The principal office address, including street and number, if any, o f the applicant is (may, but need not be, located in Virginia): ___________________________________________________________________ _____________________ (number/street) ___________________________________________________________________ _____________________. (city or town) (state) (zip code)4. A. The name of applicants registered agent is _____________________________________________________________ ________________________. B. The registered agent is (mark appropriate box): (1) an INDIVIDUAL who is a resident of Virginia and [ ] a general partner of the applicant. [ ] an officer or director of a corporate general par tner of the applicant. [ ] a general partner of a general partner of the app licant. [ ] a member or manager of a limited liability compan y that is a general partner of the applicant. [ ] a trustee of a trust that is a general partner of the applicant. [ ] a member of the Virginia State Bar. OR (2) [ ] a domestic or foreign stock or nonstock corporati on, limited liability company or registered limited liability partnership authorized to transact business in Virginia. 5. A. The registered office address, including street and number, if a ny, of the applicant, which is the business address of the registered agent, is _____________________________________________________________ ________________________ (number/street) ____________________________________________________________ V A ______________________. (city or town) (zip code) B. The registered office address is physically located in the [ ] city or [ ] county of (mark one) ______________________________________________________________ _______________________. 6. Any other matters that the applicant determines to include: ___________________________________________________________________ _____________________ ___________________________________________________________________ _____________________. American LegalNet, Inc. www.USCourtForms.com>>>> 2(OVER) American LegalNet, Inc. www.USCourtForms.com>>>> 3 7. Registration as a registered limited liability partnership has been approved (check one): o By the partners in the manner provided in the applicants partnership agreement for amendments to the partnership agreement. OR o By all the partners (required if the partnership agreement has no provision concerning amendments). The undersigned individual(s) personally declare(s) under penalty of perjury that the contents of this statement are accurate. Signatures of at least two partners of a partnership or one or more auth orized general partners of a limited partnership: ______________________ ____________________________ _____________________ ____________ (signature) (printed name) (title) (date) ______________________ ____________________________ ______________ _______ ____________ (signature) (printed name) (title) (date) INSTRUCTIONS The statement must be in the English language, typewritten or printed in black, legible and reproducible. See 50-73.83 ofthe Code of Virginia. The document must be presented on uniformly white , opaque paper, free of visible watermarks and background logos. You can download this form from our website at www.state.va.us/scc/division/clk/index.htm. The person who files this statement shall promptly send a copy of the st atement to every nonfiling partner and to any otherperson named as a partner in the statement. See 50-73.83 E of the Code of Virginia. The name of a registering general partnership must include the words Registered Limited Liability Partnership or LimitedLiability Partnership, the abbreviation R.L.L.P. or L.L. P. or the designation RLLP or LLP. See 50-73.1 33 of the Codeof Virginia. The name of a registering limited partnership must include either (1) (a) the words Limited Partn ership, or theabbreviation L.P. or LP and (b) the words Registered Limited Liability Partnership or Limited Liability Partnership, theabbreviation R.L.L.P. or L.L.P. or the designation RLLP or LLP, or (2) the words Registered Limited Liability LimitedPartnership or Limited Liability Limited Partnership, the ab breviation R.L.L.L.P. or L.L.L.P. or the designation RLLLP orLLLP. See 50-73.78 of the Code of Virginia. A registered limited liability partnership may not serve as its own regi stered agent. Each of the addresses for the principal office and registered agents business office must include a street address. A ruralroute and box number may only be used if no street address is associated with the location of the an office. A post officebox is only acceptable for towns/cities that have a population of 2,000 or less if no street address or rural route and boxnumber is associated with the location of an office. State the name of the county or independent city in which the registered office is physically located. Counties and independent cities in Virginia are separate local jurisdictions. Submit the original, signed statement to the Clerk of the State Corporat ion Commission, P.O. Box 1197, Richmond, Virginia st 23218-1197, (Street address: 1300 East Main Street, Tyler Building, 1 Floor, Richmond, Virginia 23219), along with a checkfor the filing fee in the amount of $100.00, payable to the State Corporation Commission. PLEASE DO NOT SEND CASH. If you have any questions, please call (804) 371-9733 or toll-free in Vir ginia, 1-866-722-2551. NOTE LIMITED PARTNERSHIPS ONLY: The registered agent information must be identical to that which is pr esently on record with the Commission for the limited partnership. In order to cha nge the registered agent and/or the registered agents business address, a Registered Limited Liability L imited Partnership must file a Statement of