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                                                                                               STATEMENT OF CHANGE 
                                       PAUL D. PATE 
                                                                                               REGISTERED OFFICE AND/OR 
                             Secretary of Staet                                                   REGISTERED AGENT 
                                                                           (Limited Partnership - Iowa Code Chap 488) 
                                       State of Iowa 
 
         Pursuant to section 115 of the Iowa Uniform Limited Partnership Act, the undersigned submits this Statement to change the 
         limited partnership’s registered office and/or registered agent in Iowa
                    Read the INSTRUCTIONS on the back of thisform        before completing the information and signing below.        
 
         1. TheNAM Eofthe limiedt      parnershipt is  :                                                                              
 
         2. The street and mailing address of the CURRENT registered OFFICE as indicated on the Secretary of State’s 
         records is: 
 
          Street                                                      City                                   State       Zip 
 
         3. The street and mailing address of the NEW registered OFFICE is: 
          
          Street                                                      City                                   State       Zip 
  
         4. The name of the CURRENT registered agent as indicated on the Secretary of State’s records is: 
 
         5. The name andemailaddress   of theNEW registered agentis: 
 
               Name                                                              Email Address 
 
         6.  Signaure  t :                                                                                     Dae  t :                
                                                                      *See instruction #6 on back 
 
          PRN I T   Name and Ttile  :                                                              (         )                         
                                                       Name and Title                                              Telephone Number 
 
          635_0101 
          Rev. 7/16 




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                                                INSTRUCTIONS FOR 
                     STATEMENT OF CHANGE OF REGISTERED OFFICE AND/OR 
                                                   REGISTERED AGENT 
 
 Limited Partnerships must submit a Statement of Change form to change the Registered Office and/or Registered Agent in Iowa. 
 
 It is important to read these INSTRUCTIONS before you fill out the Change form. The numbers on these instructions 
 correspond to the numbering on the form. PLEASE PRINT LEGIBLY. 
 
 1.        Print the full name of the Limited Partnership. 
 
 2.        Print the street and mailing address of the CURRENT registered office. 
 
 3.        Print the street and mailing address of the NEW registered office. 
 
 4.        Print the full name of the CURRENT registered agent. 
 
 5.        Print the name and the email address of the NEW registered agen t,if applicable. 
 
 6.        Form should be signed by a general partner. It must also state the date signed, the person’s name, and the capacity in 
           which the person signed. 
 
 NOTES:     
 
 1. The filing fee is $20.00. Make checks payable to SECRETARY OF STATE. 
 2. The information you provide will be open to public inspection under Iowa Code chapter 22.11 
 
                                                            SECRETARYOFSTATE 
                                                           BusinessServices Division 
                                                           Lucas Building, 1st Floor 
                                                            Des Moines, IA 50319 
 
                                                            Phone: (515) 281-5204 
                                                            FAX: (515) 242-5953 
                                                            Website: sos.iowa.gov 
 
 635_0101 
 rev. 7/16 






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