Amendment Or Withdrawal (Foreign LLP) {166}

Phone: (503) 986-2200 Fax: (503) 378-4381 Amendment/WithdrawalForeign Limited Liability Partnership Secretary of State Check the appropriate box below: Corporation Division AMENDMENT 255 Capitol St. NE, Suite 151 (Complete only 1, 2, 6, 7) Salem, OR 97310-1327 FilingInOregon.com WITHDRAWAL (Complete only 1, 3, 4, 5, 6, 7) REGISTRY NUMBER : In accordance with Oregon Revised Statute 192.410-192.490, the informati on on this application is public record. We must release this information to all parties upon request and it will be posted on our website.r 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 ONLY 2) AMENDMENT (The amendment is as follows. Only the 3) STATE OR COUNTRY OF ORIGIN . partnership 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.) Signature Printed Name 7) CONTACT NAME (To resolve questions with this filing.) DAYTIME PHONE NUMBER (Include area code.) FEES Required Processing Fee $50 Confirmation Copy (Optional) $5 Processing Fees are nonrefundable. Please make check payable to Corporation Division. NOTE: Fees may be paid with VISA or MasterCard. The card number and expiration date should be submitted on a separate sheet for your protection. 166 (Rev. 1/04)