State of Wisconsin DEPARTMENT OF FINANCIAL INSTITUTIONS Division of Corporate & Consumer Services NO CURRENT FILING FE E ( Optional ) Expedited Service fee $25.00 DFI/CORP/621(01/18) Use of this form is mandatory. 1 FORM 621 Mandatory F oreign Registration Statement Limited Liability Partnership Sec. 178.1003 Wis. Stats. 1 . Name of the partnership (see instructions) : If the true name of the partnership is not available for use in Wisconsin, the fictitious name under which is proposes to register in Wisconsin: 2 . (state or country) Street and m ailing address es of its principal office (and , if different, the street address of a required office in its home state or country , if any) : 3 . Name of registered agent : 4 . Street address of registered of fice in Wisconsin : 5. 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) 6. This document was drafted by (Name the individual who drafted the document) Office Use Only American LegalNet, Inc. www.FormsWorkFlow.com DFI/CORP/621(01/18) Use of this form is mandatory 2 FOREIGN LIMITED LIABILITY PARTNERSHIP REGISTRATION STATEMENT Please provide an email or postal mailing address for the filed copy of the document. Your phone number during the day: INSTRUCTIONS (Ref. sec. 178.1003, 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. The name of a foreign limited liability partnership, or any fictitious name it may adopt, must be distinguishable on the records of the department per sec. 178.0902(3). 2. Indicate the state or country under whose jurisdiction this partnership is formed, and provide the street and mailing addresses of the limited liability partnership, or, if different, the street address of a required office in its home state or country, if any. 3. The limited liability partnership must continuously maintain, in Wisconsin, a registered agent. The partnership may not name itself as registered agent. 4. The limited liability partnership must continuously maintain, in Wisconsin, a registered office address, which is required to be the physical business office address of the registered agent. 5. The document is to be executed by one or more persons authorized by the partnership. 6. 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