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FORM                                            Illinois Uniform Partnership Act                                        FILE #
UPA-Withdrawal                                              Statement of Withdrawal of                                            This space for use by
                                                                                                                                      Secretary of State.
(1001(e)/1102(f))                               Limited Liability Partnership Status

Secretary   of State
Department   of Business Services                                  Submit in Duplicate
Limited Liability Division
501   S. Second St., Rm. 357          
Springfield,   IL 62756                                     This space for use by Secretary of State.
217-785-8960
www.ilsos.gov                                                Date:
Payment must be made   by certified check,                   Assigned File #:
cashier’s check, Illinois attorney’s check,                  Filing Fee: $100
Illinois C.P.A.’s check   or money order 
payable   to Secretary   of State.                           Approved:

1. Limited Liability Partnership Name: __________________________________________________________

2. Federal Employer Identification Number (FEIN): ________________________________________________

3. State of Jurisdiction: ______________________________________________________________________

4. Effective Date of Initial Registration in Illinois:__________________________________________________

5. Status as a Limited Liability Partnership is voluntarily withdrawn.

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

   ________________________________________________________________________________________

7. Illinois Registered Agent: __________________________________________________________________

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

   ______________________________________________________________________________________

8. We declare, under the penalty of perjury, under the laws of the State of Illinois, that the foregoing is true,
   correct and complete.

Executed on the ___________of _______________ , ___________ by at least two partners.
                                   Day                       Month                Year

1.                                                                                1.
                                      Signature                                                                         Street Address

                             Name and Title (type or print)                                                             City/Town

                       Name if a Corporation or other Entity                                                            State, ZIP

2.                                                                                2.
                                      Signature                                                                         Street Address

                             Name and Title (type or print)                                                             City/Town

                       Name if a Corporation or other Entity                                                            State, ZIP

                                                Printed by authority of the State of Illinois. May 2009 – 200 – RLLP 4.4