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 certification fees with your submission.

• For applicable 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):

Address:  

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 22California Secretary of State 
16960 LLP-4 (REV 03/2022)                                                                                    bizfileOnline.sos.ca.gov 
                                                                                                        Clear Form               Print Form