Application To Register Securities {6(A)(3)}

Form 6(A)(3) - REGISTRATION FOR THE SALE OF SECURITIES REPRESENTING AN INTEREST IN A GENERAL PARTNERSHIP, LIMITED PARTNERSHIP, PARTNERSHIP ASSOCIATION, LIMITED LIABILITY COMPANY, SYNDICATE, POOL, TRUST, TRUST FUND, OR OTHER UNINCORPORATED ASSOCIATION. Use this form only for registering an intended future sale of securities by an issuer (other than a corporation) pursuant to the provisions of R.C. Section 1707.06(a)(3). Separate forms must be obtained from the Division of Securities for registration pursuant to R.C. Sections 1707.06(A)(1), (2), or (4). If the space provided on this form is inadequate for full response, attach an exhibit numbered to correspond to the number of the question thereby answered. www.FormsWorkflow.com