Application For Registration Registered Limited Liability Limited Partnership {LLLP-01}

BUSINESS REGISTRATION DIVISION P.O. BOX 29622 RALEIGH, NC 27626-0622 (Revised August, 2017) Form LLLP-01 Page 1 State of North Carolina Department of the Secretary of State APPLICATION FOR REGISTRATION Registered Limited Liability Limited Partnership Pursuant to 24759-210 of the General Statutes of North Carolina, the undersigned hereby submits this application for registration as a Registered Limited Liability Limited Partnership. 1. The name of the limited liability limited partnership is: . (The name must contain the words 223Registered Limited Liability Limited Partnership,224 223Limited Liability Limited Partnership,224 or the abbreviation 223L.L.L.P.,224 223R.L.L.L.P.,224 223LLLP,224 or 223RLLLP224.) 2. The name of the domestic limited partnership filing this application is: . 3. The street address of the partnership222s principal office is: Principal Office Telephone Number: Number and Street: City: State: Zip Code: County: 4. The mailing address, if different from the street address, of the partnership222s principal office is: Number and Street: City: State: Zip Code: County: 5. The fiscal year end of the partnership is:. 6. (Optional): Please provide a business e-mail address: . The Secretary of State222s Office will e-mail the business automatically at the address provided at no charge when a document is filed. The e-mail provided will not be viewable on the website. For more information on why this service is being offered, please see the instructions for this document. 7. This registration will be effective upon filing, unless a future date and/or time is specified: . This the day of , 20. Name of Domestic Limited Partnership Signature Type or Print Name and Title NOTES: Filing fee is $125. This document must be filed with the Secretary of State. American LegalNet, Inc. www.FormsWorkFlow.com BUSINESS REGISTRATION DIVISION P.O. BOX 29622 RALEIGH, NC 27626-0622 (Revised August, 2017) Form LLLP-01 Page 2 Instructions Limited Liability Limited Partnership Application for Registration (Form LLLP-01) 1. This application must be filed by the limited partnership that is becoming a registered limited liability limited partnership and must be executed by at least one general partner of that limited partnership. 2. This application must be accompanied by a filing fee of one hundred twenty-five dollars ($125.00). 3. The original executed application, along with the filing fee, should be filed with the Business Registration Division at the address below or by submitting the document online. Department of the Secretary of State Post Office Box 29622 Raleigh, North Carolina 27626-0622 4. If the application is properly completed and submitted with the correct filing fee, the Secretary of State will file the application and return a copy stamped with the effective date of filing. 5. Optional E-Mail Address: The Department offers a free voluntary notification system for which you may choose to participate. If you would like to receive this free service, please provide a business e-mail address in the space provided. Your participation will not result in your e-mail address being viewable on our website. Participation will help us to prevent identity theft in the event an unauthorized person submits a fraudulent document for filing in the name of the business entity. 6. This document must be signed by a general partner. Each Registered Limited Liability Limited Partnership must file an annual report with the Secretary of State by the fifteenth day of the fourth month following the close of the Registered Limited Liability Limited Partnership222s fiscal year. The fee for the annual report is $200. The form for the annual report is prescribed by the Secretary of State and may be filed online. American LegalNet, Inc. www.FormsWorkFlow.com