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Annual Report Of Registered Partnership Having Limited Liability - Ohio Secretary Of State

J. Kenneth Blackwell

Prescribed by

Please obtain fee amount and mailing instructions from the Forms

Inventory List ( using the 3 digit form # located at the bottom of this

form). To obtain the Forms Inventory List or for assistance, please

call Customer Service:

Central Ohio: (614)-466-3910 Toll Free: 1-877-SOS-FILE (1-877-767-3453)

(type appropriate year above)

ANNUAL REPORT OF

REGISTERED PARTNERSHIP HAVING LIMITED LIABILITY

The undersigned, being a majority in interest of the partners or the duly authorized partner(s) of

(name of registered partnership having limited liability)

bearing registration number

, make the following report:

The name of the registered partnership having limited liability is:

(please see instructions sheet regarding the name)

Please complete the following appropriate section ( either item 2A or 2B):

A. The address of the partnership's principal office in Ohio is:

(street and number)

, Ohio

(city, village or township)

(zip code)

(If the partnership does not have a principal office in Ohio, the following items must be completed)

The address of the partnership's office is:

(street and number)

, Ohio

(city, village or township)

(zip code)

The name and address of a statutory agent for service of process in Ohio is as follows:

(street and number)

, Ohio

(city, village or township)

(zip code)

103-YRL

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Version: May 1, 1999

Annual Report Of Registered Partnership Having Limited Liability - Ohio Secretary Of State