State of Wisconsin DEPARTMENT OF FINANCIAL INSTITUTIONS Division of Corporate & Consumer Services NO CURRENT FILING FEE Please check box to request Optional Expedited Service + $25.00 DFI/CORP/611(R01/18) Page 1 OFFICE USE ONLY FORM 61 1 Statement of Dissolution /Termination General or Limited Liability Partnership Sec. 178. 0802.(2)(b)(1 ) or (6) Wis. Stats. Executed by the undersigned to make known that the following partnership has elected to file with the Department of Financial Institutions a Statement of Dissolution or Termination: 1. Name of th e partnership : 2. (Typed or printed name and title) (Typed or printed name and title) American LegalNet, Inc. www.FormsWorkFlow.com DFI/CORP/611(R01/18) Page 2 STATEMENT OF DISSOLUTION or TERMINATION Please provide an email or postal mailing address for the filed copy of the document. Your phone number during the day: INSTRUCTIONS (Ref. sec. 178.0802(2)(b)(1) or (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. The name of the partnership. 2. 3. Check the appropriate statement for either a dissolution or termination. This statement is required by statute. 4. The document is to be executed by one or more persons authorized by the partnership. American LegalNet, Inc. www.FormsWorkFlow.com