Application To Reserve Name Or Transfer Reserved Name {LP 109}

Form August 2012 LP 109 Illinois Uniform Limited Partnership Act FILE # This space for use by Secretary of State. 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 Payment may be made by check payable to Secretary of State. If check is returned for any reason this filing will be void. Please do not send cash. Application to Reserve Name or Transfer Reserved Name SUBMITINDUPLICATE Please type or print clearly. Filing Fee: $50 Approved: State basis of Reservation of Name or Transfer of Reserved Name by checking the appropriate box: I A person intending to organize an Illinois limited partnership and adopt the name. I A person intending to obtain a Certificate of Authority for a foreign limited partnership. I An Illinois or foreign limited partnership intending to adopt the name. I A foreign limited partnership intending to adopt the name in order to qualify to transact business in this state. ______________________________ RESERVE NAME _____________________________________________________________________________________ (Must contain the words "Limited Partnership," "Limited Liability Limited Partnership," "L.P.," "LP," "LLLP" or "L.L.L.P.," and cannot contain the words "Company," "Corporation," "Incorporated," "Inc.," "Co." or "Corp.") 1. Limited Partnership Name to be reserved for a period of 90 days: 2. Applicant Name: ________________________________________________________________________ 3. Applicant Address: ______________________________________________________________________ Street Address _____________________________________________________________________________________ City, State, ZIP 4. The undersigned affirms, under penalties of perjury, that the facts stated herein are true, correct and complete. Date: ____________________________________ Month, Day, Year ________________________________________ Signature ________________________________________ Name and Title (type or print) ________________________________________ General Partner Name if corporation or other entity Printed on recycled paper. Printed by authority of the State of Illinois. August 2012 -- 1 -- CLP 27.4 American LegalNet, Inc. www.FormsWorkFlow.com TRANSFER RESERVED NAME The undersigned __________________________________________________________________________ Original Applicant Name hereby transfers to ________________________________________________________________________ Transferee Name the right to use the name ___________________________________________________________________ for Limited Partnership purposes in Illinois. This name was reserved on _________________________________________________________________ Date (month, day, year) The undersigned affirms, under penalties of perjury, that the facts stated herein are true, correct and complete. Date: ____________________________________ Month, Day, Year ________________________________________ Signature ________________________________________ Name and Title (type or print) ________________________________________ General Partner Name and Title if a Limited Partnership ________________________________________ City, State, ZIP, County __________________________________________ Name and title (type or print) Signatures must be in black ink on an original document. Carbon copy, photocopy or rubber stamp signatures may only be used on conformed copies. American LegalNet, Inc. www.FormsWorkFlow.com