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Statement Of Qualification Of Limited Liability Partnership Form - Government Of The District Of Columbia

DEPARTMENT OF CONSUMER AND REGULATORY AFFAIRS

BUSINESS AND PROFESSIONAL LICENSING ADMINISTRATION

CORPORATIONS DIVISION

Government

Of the District of Columbia

DCRA

Corporations Division

P.O. Box 92300

WASHINGTON, D.C. 20090

STATEMENT OF QUALIFICATION

OF LIMITED LIABILITY PARTNERSHIP

Pursuant to the provisions of the District of Columbia Uniform Partnership Act of

1996, We, the undersigned partners present this Statement of Qualification of

Limited Liability Partnership for filing. We acknowledge that the making of a false

statement in this application is punishable by criminal penalties

under section 404 of the District of Columbia Theft and White Collar Crime Act of

1982 as amended.

1. Name of the Limited Liability Partnership:

_____________________________________________________________________

2. Street address of the partnership's chief executive offices

________________________________________________________________________

3. If different from the street address of the chief executive office, the street address

of an office in the District of Columbia, if any:

________________________________________________________________________

4. If the partnership does not have an office in the District of Columbia, (P.O. Box is

NOT sufficient) the

name and address of the partnership's registered agent:

________________________________________________________________________

[Attach a written consent of the registered agent to so serve]

5. This statement will be effective upon filing unless a deferred effective date is

specified

Date: ________________

_________________________________________________

Signature of Partner

_________________________________________________

Signature of Partner

Fees Due: Filing Fee: $150.00. For General Information Call:

For General Information Call:

The Corporations Division - (202) 442-4432

Statement Of Qualification Of Limited Liability Partnership Form - Government Of The District Of Columbia