Secretary of State  
                                                                                                                 Business Programs Division  
                                                                                                                                                 Business Entities   
                                                                                                        1500 11th Street, Sacramento, CA 95814  
              
                                                                                                     P.O. Box 944260, Sacramento, CA 94244-2600  
  
                                                                                                         Submission  Cover Sheet 

 Instructions:  

 •  Complete and include this form with your paper submission.                                                   This information only will be  
    used to communicate in writing about the submission, if needed.  This form will be  
    treated as correspondence and will not be made part of the filed document.                                                                   

 •  Make all checks or money orders payable to the Secretary of State.  

 •  In person submissions (excluding Statements of Information): $15 handling fee; do not include    
    a $15 handling fee when submitting documents by mail.  

 •  Standard processing time for submissions to this office is approximately 5 business days from  
    receipt. All submissions are reviewed in the date order of receipt with online submissions                                                    
    given priority. For updated processing time information, visit                                               
    www.sos.ca.gov/business/be/processing-dates.  
        
 Optional Copy and Certification Fees:  

 •  If applicable, include optional copy and certification fees with your submission.   

 •  For applicable copy and certification fee information, refer to the instructions of the specific   
    form you are submitting.   
        
Contact Person:  (Please type or print legibly)  
        
First Name:                                                                                        Last Name:   
 
Phone (optional):   
 
Entity Information:  (Please type or print legibly)  
 
Name:    
 
Entity Number (if applicable):   
 
Comments:    
        
Submission Cover Sheet (REV  03/2022)                                                                            Clear Form                      Print Form

                     Notice of Change of Status of a  
LLP-4 
                     Limited Liability Partnership (LLP) 
To cancel the registration of your LLP in California, fill out this form, 
and submit for filing along with: 
–     A $30 filing fee.
–     A separate, non-refundable    $15 service fee also must  be
      included,  ifyou drop off the completed form.
Note:   Upon the filing of this form by the California Secretary of State, 
the registration of the LLP in California will be cancelled. 
Important!        For information about filing your final annual tax return,
please contact the California Franchise Tax Board at (800) 852-5711 
(from within the U.S.) or (916) 845-6500 (from outside the U.S.) or 
go to https://www.ftb.ca.gov.                                                     This Space For Office Use Only 

                            For questions about this form, go to www.sos.ca.gov/business/be/filing-tips.

     LLP’s File No. (issued by CA Secretary of State)          LLP’s Exact Name (on file with CA Secretary of State)

        If you don't know the file number, leave Item 1 blank. 

     Status Change  (Check only one box.)

             This California registered LLP is no longer a registered LLP. This LLP has filed or will file a final annual 
             tax return with the California Franchise Tax Board.  (California Revenue and Taxation Code sections 
             17948.3 and 18401 et seq.) 

             This foreign LLP is no longer a foreign LLP.  This foreign LLP has filed or will file a final annual tax return 
             with the California Franchise Tax Board. (California Revenue and Taxation Code sections 17948.3 and 
             18401 et seq.) 

             This foreign LLP is no longer required to be registered under California Corporations Code section 
             16959 and is now withdrawing its registration in California.   

     Read and sign below: This form must be signed by one or more authorized partners of the LLP.  If you need more space,
      attach extra pages that are 1-sided and on standard letter-sized paper (8 1/2" x 11").  All attachments are part of this notice. 

      Sign here                                                             Date 

      Print your name here                                                  Your business title 

      Sign here                                                             Date 

      Print your name here                                                  Your business title 

Make check/money order payable to: Secretary of State 
Upon filing, we will return one (1) uncertified copy of your filed document for free, and will certify the copy upon request and 
payment of a $5 certification fee. 

Corporations Code §§ 16954,                                                                             20 2California2Secretary of State 
16960 LLP-4 (REV 03/2022)                                                                                    bizfileOnline.sos.ca.gov 
                                                                                                        Clear Form               Print Form