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DEAN HELLER

Application for Registration of

Secretary of State

Foreign Limited-

Liability Partnership

101 North Carson Street, Suite 3

Carson City, Nevada 89701-4786

(PURSUANT TO NRS 87)

(

775) 684 5708

Important: Read attached instructions before completing form.

Name of Foreign

Limited-Liability

Partnership:

Name Being

Registered

with Nevada:

(see instructions)

Date of Formation

and State or

Country in which

Partnership was

_________________________

_____________________________________

formed:

Date Formed

State or Country where authorized

Resident Agent

________________________________________________________________________________

Name and Street

Name

Address:

(must be a Nevada address

__________________________________________________________, NEVADA ____________

where process may be

Street Address

City

Zip Code

served)

Street Address of

Principal Office:

__________________________________________________________, ________ ____________

Street Address

City

State

Zip Code

Names and

1._______________________________________________________________________________

Business

Name

Addresses of each

__________________________________________________________, ________ ____________

Managing Partner

Street Address

City

State

Zip Code

in this State:

(attach additional pages if

there are more than 2)

2._______________________________________________________________________________

Name

__________________________________________________________, ________ ____________

Street Address

City

State

Zip Code

7. Description of

Professional

Services to be

Rendered:

8. Name and

Signature of

_____________________________________

_______________________________________

Managing Partner

making Statement:

Name

Signature

(see instructions; attach

additional pages if more

_____________________________________

_______________________________________

than two)

Name

Signature

It is hereby declared and affirmed under the penalties of perjury that I am (we are) the person(s) who executed this

Certificate of Registration, which execution is my (our) act and deed and that the partnership, hereafter, will be a

registered limited-liability partnership.

9. Certificate of

Acceptance of

I, _____________________________________________hereby accept appointment as Resident Agent for the above

Appointment of

named Foreign Limited-Liability Partnership.

Resident Agent:

____________________________________________________

______________________________________

Signature of Resident Agent

Date

This form must be accompanied by appropriate fees. See attached fee schedule.

Nevada Secretary of State Form FOREIGN LLP REG1999.01

Revised on: 03/24/00

Form Foreign Llp Reg1999.01 - Application For Registration Of Foreign Limited Liability Partnership - 2000

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