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FORM                           Illinois Uniform Partnership Act         File #:

UPA-1003-(D)                   Renewal Statement of Domestic 
October 2009                   Limited Liability Partnership

                                                                        This space for use by 
                               Payment may be made by check                    Secretary of State.
Secretary of State
                               payable to Secretary of State.
Department of Business Services
Limited Liability Division
501 S. Second St., Rm. 357     This space for use by Secretary of State.
Springfield, IL 62756
217-785-8960                   Date:
www.cyberdriveillinois.com     Filing Fee:
                               Approved:

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 REGISTRATION 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. Registered Limited Liability Partnership Name:__________________________________________________

______________________________________________________________________________________

2. Federal Employer Identification Number (FEIN): __________________________________________________

3. Effective Date of Initial Registration: _________________________________________________________

4. Address of Chief Executive Office (P.O. Box alone and c/o are unacceptable.):__________________________

______________________________________________________________________________________

5. Illinois Registered Agent: __________________________________________________________________

Illinois Registered Office (P.O. Box alone and c/o are unacceptable.): ________________________________

______________________________________________________________________________________

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.): ________________________________________

                     Printed on recycled paper. Printed by authority of the State of Illinois. November 2009 — 200 — RLLP 2.10



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UPA-1003-(D)

7. Brief statement of the business in which the partnership engages: 

8. The partnership hereby applies for continual status as a registered Limited Liability Partnership.

9. The undersigned affirms, 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.

Dated                                               20
              Month, Day                              Year

              Signature                                              Street Address

            Name and Title (type or print)                                        City/Town

      Partner Name if a Corporation or other Entity                               State, ZIP

            Printed on recycled paper. Printed by authority of the State of Illinois. November 2009 — 200 — RLLP 2.10






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