Partnership Registration Statement {CR2E074}

GP (For Office Use Only) COVER LETTER TO: Registration Section Division of Corporations SUBJECT: (Name of Partnership) The enclosed Partnership Registration Statement and fee(s) are submitted for filing. Please return all correspondence concerning this matter to the following: (Name of Person) (Firm/Company) (Address) (City/State and Zip Code) For further information concerning this matter, please call: at ( (Name of Person) ) (Area Code & Daytime Telephone Number) STREET ADDRESS: Registration Section Division of Corporations Clifton Building 2661 Executive Center Circle Tallahassee, Florida 32301 MAILING ADDRESS: Registration Section Division of Corporations P.O. Box 6327 Tallahassee, Florida 32314 CR2E074 (9/15) PARTNERSHIP REGISTRATION STATEMENT 1. (Name of Partnership) 2. (State/County of Formation) 4. (Street Address of Chief Executive Office) 5. 3. (FEI Number) (Street Address of Principal Office in Florida, if applicable) 6. In accordance with s. 620.8105(1)(c)(1 & 2), Florida Statutes, required partner information is provided in one of the following options: Attached is a list of the names and mailing addresses of ALL partners and Florida Registration Numbers, if other than individuals, or: The name and street address of the agent in Florida who shall maintain a list of the names and addresses of all partners: IF OTHER THAN INDIVIDUAL, NAME & FLORIDA STREET ADDRESS FLORIDA REGISTRATION OF FLORIDA AGENT NUMBER If any of the partners are other than individuals, its entity name and Florida Registration Number must be listed below: Partner Entity Name Florida Document Number . 7. Effective date, if other than the date of filing: (Effective date cannot be prior to the date of filing nor more than 90 days after the date of filing.) NOTE: If the date inserted in this block does not meet the applicable statutory filing requirements, this date will not be listed as the document's effective date on the Department of State's records. The execution of this statement constitutes an affirmation under the penalties of perjury that the facts stated herein are true. We are aware that any false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s. 817.155, F.S. Signed this day of , . Signatures of TWO Partners: Typed or printed names of partners signing above: Filing Fee: Certified copy: Certificate of Status: $50.00 $52.50 (optional) $ 8.75 (optional) American LegalNet, Inc. www.FormsWorkFlow.com Division of Corporations P.O. Box 6327 Tallahassee, FL 32314