Application For Registration Of LLP Domestic {SS-4482}

For Office Use Only Corporate Filings 312 312 Rosa L. Parks Ave. 6th Floor, William R. Snodgrass Tower Nashville, TN 37243 APPLICATION FOR REGISTRATION OF LIMITED LIABILITY PARTNERSHIP DOMESTIC Pursuant to the provisions of the Tennessee Revised Uniform Partnership Act, Section 61-1-1001, the undersigned partner(s) hereby applies (apply) for status as a registered limited liability partnership: 1. The name of the limited liability partnership is: (Note: Pursuant to Section 61-1-1003, each limited liability partnership name must contain the words "Registered Limited Liability Partner ship" or the abbreviation LLP or L.L.P.) 2. The complete address of the principal office is: City State Zip Code Street 3. The complete address of the registered office in Tennessee is: City County TN State/ Zip Code Street 4. 5. 6. 7. The name of the registered agent, to be located at the address listed in No. 3, is: A brief statement of the business in which the partnership is engaged: Other provisions: If the document is not to be effective upon filing by the Secretary of State, the delayed effective date/time is: , (date), (time). (Note: A delayed effective date may not be later than the 90th day after the date this document is filed by the Secretary of State.) 8. This limited liability partnership, which was previously formed on hereby elects to be governed by the Tennessee Limited Liability Partnership Act. (Applies only to limited liability partnerships created prior to July 1, 1995) Number of partners at time of filing: ___________________________. 9. (Note: The application must be executed by one or more authorized partners. Attach additional sheet if necessary) Signature Date Signature Partner Name (typed or printed) Signature Date Signature Partner Name (typed or printed) SS-4482 (Rev. 2/02) Filing Fee: $50.00 per member (minimum fee = $ 250, maximum fee = $ 2,500) RDA 2515 American LegalNet, Inc. www.FormsWorkFlow.com