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                                          District of Columbia Government 
                                                Corporations Division 

                      Statement of Qualification for Domestic Limited Liability Partnership 
                                            Form DLLP-1, Ver. 6, October 2022                
Use this form to form a Domestic Limited Liability Partnership in the District of Columbia. 
For item 6 please refer to the following: 
 State the names, residence and business addresses of each person (limited and general partner) whose aggregate share of direct or indirect, legal or 
 beneficial ownership of a governance or total distributional interest of the entity: 
 (A) Exceeds 10 percent; or
 (B) Does not exceed 10 percent; provided, that the person:
     (i) Controls the financial or operational decisions of such entity; or
     (ii) Has the ability to direct the day-to-day operations of such entity.
                   ENTITY TYPE / AUTHORITY                                                                FILING FEE 
 Domestic Limited Liability Partnership: § 29–610.01. § 29-102.01                     Refer to Corporate Fee Schedule posted online. 
 Under the provisions of the Title 29 of D.C. Code (Business Organizations Act), the domestic filing entity listed below 
 hereby applies for a Statement of Qualification and for that purpose submits the statement below. 
1. The name of the partnership  (shall include “limited liability partnership” or “registered limited liability partnership” or the abbreviation “L.L.P.”,
R.L.L.P.”, “LLP”, or “RLLP”)

2. The street address of the partnership's principal office

3. Name and address of Registered Agent in the District

4. The partnership elects to be a limited liability partnership.
5. Effective date

6. State the names and addresses of each person (general and limited partner) that has interest or control over this partnership (review to the
top section for more information)

                 If you sign this form you agree that anyone who makes a false statement can be punished by criminal penalties 
                            of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC § 22-2405; 
7. Name of the Partner or Authorized Person                                  7A. Signature of the Partner or Authorized Person 

Mail all forms and required payment to:                                      Many corporate filings are available online. 
Department of Licensing and Consumer Protection 
Corporations Division                                                        Go to our CorpOnline site at https://corponline.dlcp.dc.gov  and sign 
PO Box 92300                                                                 in with Access DC to proceed. 
Washington, DC 20090 
Phone: (202) 442-4432                                                        Online filings are paid by credit card.