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Form Upa-134 - Annual Report Of A Domestic Or Foreign Registered Limited Liability Partnership

UPA-134

COMMONWEALTH OF VIRGINIA

(01/00)

STATE CORPORATION COMMISSION

ANNUAL REPORT OF A DOMESTIC OR FOREIGN

REGISTERED LIMITED LIABILITY PARTNERSHIP

The undersigned presents this statement for filing pursuant to Section 50-73.134 of the Code of Virginia.

MARK ONE : This annual report is for o o a partnership OR o o a limited partnership.

1. The name of the o o domestic OR o o foreign registered limited liability partnership is: (mark one)

____________________________________________________________________________________

____________________________________________________________________________________.

2. The partnership was filed on ___________________________, file number ____________________.

(month, day, year)

3. (Foreign only) The jurisdiction in which the foreign Registered Limited Liability Partnership is

registered is _____________________________________________.

(state or country)

4. The principal office address of the domestic or foreign Registered Limited Liability Partnership is:

(may, but need not be, located in Virginia)

____________________________________________________________________________________

(number/street)

____________________________________________________________________________________

(city or town)

(state)

(zip code)

Signed this ____________ day of ________________________, 20 _____.

The individual executing this document personally declares under penalty of perjury that the

contents are accurate.

Signature of a partner:

_______________________________________________

INSTRUCTIONS ON THE REVERSE

Form Upa-134 - Annual Report Of A Domestic Or Foreign Registered Limited Liability Partnership