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                                                      District of Columbia                Government 

                                                               Corporations               Division         
                               Statement of Qualification for Domestic Limited Liability Partnership 
                                                      Form DLLP-1, Ver. 5, February 2020.                   
             
            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. 
1.1. 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:                                   Corporate Online Services Information: 
            Department of Consumer and Regulatory Affairs                             Many corporate filings are available by using CorpOnline 
            Corporations Division                                                     Service. 
            PO Box 92300                                                              Go to CorpOnline site at https://corponline.dcra.dc.gov, create 
            Washington, DC 20090                                                      the profile, access the online services main page and proceed. 
                                                                                      Online filers must pay by using the credit card.  
            Phone: (202) 442-4432