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DO NOT STAPLE
                                                                                                  FILE #:
FORM                                     Illinois 

UPA-1003-(F)                    Uniform Partnership Act
April 2010                      Renewal Statement of Foreign 
                                Limited Liability Partnership
                                                                                                                                 This space for use by 
Secretary of State              Submit in duplicate. Please type or print clearly.                                               Secretary of State.
Department of Business Services 
Limited Liability Division      Payment must be made by certified check, cashier’s check,
                                money order, Illinois attorney’s check or Illinois C.P.A.’s check.
501 S. Second St., Rm. 357 
Springfield, IL 62756
                                This space for use by Secretary of State.
217-524-8008
                                Date:
www.ilsos.gov
                                Filing Fee:  $300
                                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. State of Jurisdiction: ______________________________________________________________________

4. Effective Date of Initial Registration in Illinois: ________________________________________________

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

______________________________________________________________________________________

6. Illinois Registered Agent: __________________________________________________________________

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

______________________________________________________________________________________

7. Total Number of Partners currently (minimum of 2): ______________________________________________

8. Brief statement of the business in which the partnership engages: __________________________________

______________________________________________________________________________________

______________________________________________________________________________________

                           Printed on recycled paper. Printed by authority of the State of Illinois. June 2010 – 200 – RLLP 3.9



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UPA-1003-F

9. The partnership hereby applies for continual status as a foreign Limited Liability Partnership.

10. This renewal statement is accompanied by a Certificate of Good Standing from the proper officer of
   the state or country wherein the LLP is formed.

11. 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

1. __________________________________________________        2. ________________________________________________
          Name (type or print)                                                       City, Town

1. __________________________________________________        2. ________________________________________________
         Partner Name if a Corporation or other Entity                               State, ZIP

          Printed on recycled paper. Printed by authority of the State of Illinois. June 2010 – 200 – RLLP 3.9






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