Statement Of Qualification To Be Limited Liability Partnership

Jan Brewer Secretary of State Use:Secretary of State Limited Partnerships th 1700 West Washington 7 Fl Phoenix, Arizona 85007 Make Check Payable to: Secretary of State Fee: $3.00 per document SUBMIT IN DUPLICATE with a self-addressed, stamped envelope. All correspondence regarding this filing will be sent to the principal office listed below. STATEMENT OF QUALIFICATION TO BE A LIMITED LIABILITY PARTNERSHIP A.R.S. 29-1101 To be filed by ane xisting Arizona limited partnership on record with th Secretare y Of State. Name of the partnership (end with Limited Partnership or L.P.) Secretary of State file number (optional) Name of the limited liability partnership (end with Limited Liability Partnership or L.L.P.) Street address of chief executive office in Arizona (PO Box and c/o are not acceptable) City Zip Agent for service of process Phone Arizona address of agen (Pt O Box and c/o are not acceptable) City Arizona ZipStatement of status for which this application is made: _______LLP The names, addresses and signature of each general partner: Printed name Signature Street address City State Zip Printed name Signature Street address City State Zip Delayed effective date if any: ___________________________ ****An affidavit evidencing publication shall be filed with the Secretary of State within ninety days after the filingof the statement of qualification. (Filing Fee $3.00)