State of Wisconsin DEPARTMENT OF FINANCIAL INSTITUTIONS Division of Corporate & Consumer Services NO CURRENT FILING FE E Please check box to request Optional Expedited Service + $25.00 DFI/CORP/604(01/18) Use of this form is mandatory. Page 1 FORM 60 4 Mandatory Amended Statement of Qualification Limited Liability Partnership Sec. 178.0901 Wis. Stats. 1 . Name of the partnership prior to any change: If amending - new name of partnership (see instructions): 2 . Additional amendment(s): 3. This document is to be signed by a person(s) authorized by the partnership: Execution date: ( () (Typed or printed name and title) (Typed or printed name and title) 4. This document was drafted by (Name the individual who drafted the document) Office Use Only American LegalNet, Inc. www.FormsWorkFlow.com DFI/CORP/604(01/18) Use of this form is mandatory. Page 2 LIMITED LIABILITY PARTNERSHIP AMENDED STATEMENT OF QUALIFICATION Please provide an email or postal mailing address for the filed copy of the document. Your phone number during the day: INSTRUCTIONS (Ref. sec. 178.0901(6), Wis. Stats. for document content) Please use BLACK ink. Submit one original to State of WI-Dept. of Financial Institutions, Box 93348, Milwaukee WI, 53293-0348, (fees not yet set by rule), payable to the department. Filing fee is non-refundable. (If sent by Express or Priority U.S. mail, please visit www.wdfi.org/contactus/ for current physical address). This document can be made available in alternate formats upon request to qualifying individuals with disabilities. The original must include an original manual signature. Upon filing, the information in this document becomes public and might be used for purposes other than those for which it was originally furnished. If you have any questions, please contact the Division of Corporate & Consumer Services at 608-261-7577. Hearing-impaired may call 711 for TTY. 1. Enter the name prior to any changes. If amending the name, enter the new name in the space provided. The name of a domestic limited liability partnership, or any fictitious name it may adopt, 2. Enter the text of any additional amendments to the Statement of Qualification. 3. The document is to be executed by one or more persons authorized by the partnership. 4. If the document is executed in Wisconsin, sec. 182.01(3) provides that it shall not be filed unless the name of the individual who drafted it is printed, typewritten or stamped thereon in a legible manner. If the document is not executed in Wisconsin, enter that remark. American LegalNet, Inc. www.FormsWorkFlow.com