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                                                                                                              FILE # 
Form UPA-1003-(D)                                   Illinois                                                      Due Prior To:
November 2021                      Uniform Partnership Act                                                    This space for use by Secretary of State.
Secretary of State                 Renewal Statement of Domestic                            
Department of Business Services 
Limited Liability Division 
                                              SUBMIT IN DUPLICATE
501 S. Second St., Rm. 357 
Springfield, IL  62756                        Type or print clearly.
217-524-8008 
ilsos.gov                         Filing Fee: $ 
Payment may be made by check       
payable to Secretary of State. If Approved:
check is returned for any reason 
this filing will be void.

 THIS RENEWAL STATEMENT IS EFFECTIVE FOR ONE YEAR. LLP STATUS WILL EXPIRE IF THIS STATEMENT 
 IS NOT FILED WITHIN 60 DAYS PRIOR TO THE ANNIVERSARY DATE OF THE ORIGINAL QUALIFICATION WITH 
 THE SECRETARY OF STATE. 
  
 DO NOT MAKE CHANGES ON THIS FORM. IF CHANGES ARE NECESSARY, AMENDMENT FORM 
 UPA-1001(h)/1102(g) AND THE $25 FEE IS REQUIRED. 
 
1.   Limited Liability Partnership Name: __________________________________________________________ 
 
      ______________________________________________________________________________________ 
 
2.   Federal Employer Identification Number (FEIN): __________________________________________________ 
 
3.   Effective Date of Initial Qualification: ________________________________________________________ 
 
4.   Address of Chief Executive Office (P.O. Box alone and C/O are unacceptable.):__________________________ 
 
      ______________________________________________________________________________________ 
     Street Address                                                                                  City                                  State                                Zip
 
5.   Illinois Registered Agent: __________________________________________________________________ 
                                                                    Name
     Illinois Registered Office (P.O. Box alone and C/O are unacceptable.): ________________________________ 
 
      ______________________________________________________________________________________IL
     Street Address                                                                                  City                                                                          Zip
6.   Total Number of Partners (minimum of 2): ________________________________________________________ 
     Fee Per Partner (x $100) (minimum of $200): ____________________________________________________ 
     Total Filing Fee (In no event shall the fee exceed $5,000.): ________________________________________ 
 
7.   Brief statement of the business in which the partnership engages: 

                                  Printed by authority of the State of Illinois. November 2021 — 1 — RLLP 2.12

UPA-1003-(D)

8.   The undersigned declares, under penalties of perjury, having authority to sign hereto, that this renewal 
     application is to the best of my knowledge and belief, true, correct and complete. 
 
     Executed on                                           , 20        by a partner.  
                 Month, Day                        Year
 
                 Signature                                                            Street Address
 
                 Name and Title (type or print)                                       City/Town
 
     Partner Name if a Corporation or other Entity                                    State, Zip