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UPA-132

COMMONWEALTH OF VIRGINIA

(07/00)

STATE CORPORATION COMMISSION

STATEMENT OF REGISTRATION AS A DOMESTIC

REGISTERED LIMITED LIABILITY PARTNERSHIP

The undersigned presents this statement for filing pursuant to § 50-73.132 of the Code of Virginia.

MARK ONE: This statement of registration is for o o a partnership OR o o a limited partnership.

1. The name of the partnership or limited partnership (“applicant”) is:

____________________________________________________________________________________

____________________________________________________________________________________,

and it hereby applies for status as a domestic registered limited liability partnership.

Note: Pursuant to § 50-73.133 of the Code of Virginia, the name of a partnership applicant must contain the

words “Registered Limited Liability Partnership” or “Limited Liability Partnership” or the abbreviation

“R.L.L.P.” or “L.L.P.” or the designation “RLLP” or “LLP”. Pursuant to § 50-73.78 of the Code of Virginia, the

name of a limited partnership applicant must contain the words “Limited Partnership” or the abbreviation

“L.P.” and one of the foregoing phrases, abbreviations or designations, or the words “Registered Limited

Liability Limited Partnership” or “Limited Liability Limited Partnership” or the abbreviation “R.L.L.L.P.” or

“L.L.L.P.” or the designation “RLLLP” or “LLLP”.

2. The applicant’s SCC ID number (if issued or known) is _________________________.

3. The principal office address of the applicant is (may, but need not be, located in Virginia):

____________________________________________________________________________________.

(number/street)

____________________________________________________________________________________

(city or town)

(state)

(zip code)

4. A. The name of applicant’s Virginia registered agent is:

____________________________________________________________________________________.

B. The registered agent is (mark appropriate box)

(1) an INDIVIDUAL who is a resident of Virginia and

[ ] a general partner of the applicant

[ ] an officer/director of a corporate general partner of the applicant

[ ] a general partner of a general partner of the applicant

[ ] a member/manager of a limited liability company general partner of the applicant

[ [ a trustee of a trust that is a general partner of the applicant

[ ] a member of the Virginia State Bar

(2)

[ ] a professional corporation, professional limited liability company or registered limited liability

partnership registered with the Virginia State Bar under § 54.1-3902 of the Code of Virginia.

5. A. The Virginia registered office address, which is the business address of the registered agent, is:

____________________________________________________________________________________

(number/street)

_________________________________________________________ VA ________________________

(city or town)

(zip code)

B. The registered office address is physically located in the

[ ] city

[ ] county of (mark one):

____________________________________________________________________________________.

(OVER)

Form Upa-132 - Statement Of Registration As A Domestic Registered Limited Liability Partnership

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