Application For Reinstatement {LP 810-906.5}

Form LP 810/906.5 August 2012 Secretary of State Department of Business Services Limited Liability Division 501 S. Second St., Rm. 357 Springfield, IL 62756 217-524-8008 www.cyberdriveillinois.com Total payment must be made by certified check, cashiers check, Illinois attorneys check, Illinois C.P.A.s check or money order, payable to Secretary of State. Please do not send cash. Illinois Uniform Limited Partnership Act FILE # This space for use by Secretary of State. Application for Reinstatement SUBMITINDUPLICATE Please type or print clearly. Filing Fee: $200 Approved: 1. Limited Partnership Name:________________________________________________________________ ____________________________________________________________________________________ 2. Jurisdiction:______________________________________________________________________________ 3. Date of Dissolution/Revocation:__________________________________________________________________ 4. Registered Agent:______________________________________________________________________________ Name Registered Office: ____________________________________________________________________________ IL Street Address City, ZIP This application is accompanied by all amendments necessary to change existing information, all delinquent reports and information requirements, and all required fees. I affirm, under penalties of perjury, having authority to sign hereto, that this reinstatement is to the best of my knowledge and belief, true, correct and complete. Must be signed by a General Partner on record. Dated: __________________________________ Month, Day Year ________________________________________ General Partner Name if corporation or other entity ________________________________________ Signature __________________________________________ Name and Title (type or print) Dated: __________________________________ Month, Day Year __________________________________________ General Partner Name if corporation or other entity Signatures must be in BLACK INK on an original document. Carbon copy, photocopy or rubber stamp signatures may only be used on conformed copy. Printed on recycled paper. Printed by authority of the State of Illinois. August 2012 -- 1 -- CLP 25.4 American LegalNet, Inc. www.FormsWorkFlow.com