PDF document
- 1 -
                                                                            Amendment/Withdrawal - Foreign Limited Liability Partnership 
               Secretary of State - Corporation Division - 255 Capitol St. NE, Suite 151 - Salem, OR 97310-1327 – sos.oregon.gov/business - Phone: (503) 986-2200 
               Check the appropriate box below: 
                   AMENDMENT 
               (Complete only 1, 2, 6) 
                   WITHDRAWAL 
               (Complete only 1, 3, 4, 5, 6) 

REGISTRY NUMBER: 

In accordance with Oregon Revised Statute 192.410-192.490, the information on this application is public record. 
We must release this information to all parties upon request and it will be posted on our website.                                                    For office use only 
Please Type or Print Legibly in Black Ink.  Attach Additional Sheet if Necessary. 

1) NAME:

   INITIAL REGISTRATION DATE OF APPLICATION:

                        AMENDMENT ONLY                                                                           WITHDRAWAL NOTICE  NLYO
2) AMENDMENT: (The amendment is as follows. Only the partnership                  3) STATE OR COUNTRY OF ORIGIN:
   name and principal place of business can be amended.)

                                                                                  4) MAILING ADDRESS             : (Address to which the person initiating any proceeding
                                                                                     may mail to this partnership a copy of any process served on the Secretary 
                                                                                     of State.)

                                                                                  5) NOTIFICATION     :
                                                                                                   The Limited Liability Partnership will notify the Corporation Division, 
                                                                                                   Business Registry of any change in this mailing address for a period of 
                                                                                                   five years from the date of this withdrawal. 

6) EXECUTION: (At least one partner must sign.)
   I declare as an authorized signer, under penalty of perjury, that this document does not fraudulently conceal, obscure, alter, or otherwise misrepresent the
   identity of any person including officers, directors, employees, members, managers or agents.  This filing has been examined by me and is, to the best of my
   knowledge and belief, true, correct and complete.  Making false statements in this document is against the law and may be penalized by fines, imprisonment,
   or both.

   Signature:                                                               Printed Name:

CONTACT NAME  :(To resolve questions with this filing.)                           FEES 
                                                                                  Required Processing Fee      $275 
PHONE NUMBER  :(Include area code.)                                               Processing Fees are nonrefundable.     Please make check payable to “Corporation Division.” 
                                                                                  Free copies are available at    sos.oregon.gov/business, using the Business Name Search program. 

 141 - Amendment Withdrawal - Foreign Limited Liability Partnership (11/17) 






PDF file checksum: 974125943

(Plugin #1/9.12/13.0)