Application For Registration (Domestic LLP) {130}

Application for Registration - Limited Liability Partnership Secretary of State - Corporation Division - 255 Capitol St. NE, Suite 151 - Salem, OR 97310-1327 sos.oregon.gov/business - Phone: (503) 986-2200 REGISTRY NUMBER: For office use only In accordance with Oregon Revised Statute 192.410-192.490, the information on this application is public record. We must release this information to all parties upon request and it will be posted on our website. For office use only Please Type or Print Legibly in Black Ink. Attach Additional Sheet if Necessary. 1) NAME: (Must contain the words imited Liability Partnership or the abbreviation LLP or .L.P.) 2) PRINCIPAL OFFICE ADDRESS: 5) NAME AND ADDRESS OF AT LEAST TWO PARTNERS: 3) ADDRESS WHERE THE DIVISION MAY MAIL NOTICES: 4) BRIEF STATEMENT OF PRIMARY BUSINESS ACTIVITY: 6) IF RENDERING A PROFESSIONAL SERVICE OR SERVICES, DESCRIBE THE SERVICE(S) BEING RENDERED: 7) THIS REGISTRATION HAS BEEN APPROVED BY PARTNERSHIP VOTE. 8) EXECUTION: (Each Partner must sign.) I declare as an authorized signer, under penalty of perjury, that this document does not fraudulently conceal, obscure, alter, or otherwise misrepresent the identity of any person including officers, directors, employees, members, managers or agents. This filing has been examined by me and is, to the best of my knowledge and belief, true, correct and complete. Making false statements in this document is against the law and may be penalized by fines, imprisonment, or both. Signature: Printed Name: Title or Capacity: CONTACT NAME: (To resolve questions with this filing.) FEES Required Processing Fee $100 PHONE NUMBER: (Include area code.) Processing Fees are nonrefundable. Please make check payable to Corporation Division. Free copies are available at sos.oregon.gov/business using the Business Name Search program. 130 - Application for Registration - Limited Liability Partnership (11/17) American LegalNet, Inc. www.FormsWorkFlow.com