Fill and Sign the Liability Waiverinformed Consent Form

STATE OF ALABAMA REGISTERED LIMITED LIABILITY PARTNERSHIP (LLP) 2014 ANNUAL NOTICE PURPOSE: Under Sections, 10A-8-10.01(e) and 10A-8-10.06(e) of the Code of Alabama 1975 a partnership registered under the section shall pay a fee each year on a date specified by the Secretary of State, which shall be March 15. The fee must be accompanied by a notice, on a form designated by the Secretary of State, setting forth any material changes in the information required to be contained in the partnership’s registration. INSTRUCTIONS: Mail this signed completed form with the appropriate fee to the Office of the Secretary of State at PO Box 5616, (For SOS Office Use Only) Montgomery, AL 36103. Include a check, money order, or credit card payment for $100.00 for standard processing (no guaranteed processing timeframe – dependent on volume) or $200.00 for expedited processing (within approximately three business days after date of receipt). The request is only accepted via mail or courier and will not be accepted via fax or email. Using a credit card and our website, you may file the Notice online in the time it takes to type this request. Due to volume, we are unable to search for filings that may or may not have be en received via regular mail to provide receipts or status – if a receipt is needed use registered mail service or a courier servic e. If the credit card does not authorize the notice will not be filed or if the check is dishonored ($30 NSF charge) the Notice will be removed. All processing instructions are complete in this form; cover letters are not necessary and will not be reviewed. If you would like a copy of the filed document, include a copy and a postage paid preaddressed return envelope. The information completing this form must be typed or laser printed. Faxed or emailed request will not be acknowledged, processed, or returned. 1. Alabama Entity ID Number (Format: 000-000): - This information is required. INSTRUCTION TO OBTAIN ID NUMBER TO COMPLETE FORM: You may obtain the entity ID number on our website at www.sos.alabama.gov under the Government Records tab. Click on Business Entity Records, click on Entity Name, enter the registered name of the Partnership in the appropriate box, and enter. The six (6) digit number containing a dash to the left of the name is the entity ID number. If you click on that number, you can check the details page to make certain that you have the correct entity – this verification step is strongly recommended. 2. The Name of the Partnership registered with the Office of the Secretary of State of Alabama (required for verification): 3. Change the Name of the Partnership to (a Name Reservation or Registration Certifica te from the Alabama Secretary of State must be attached if a name change is requested): LLP Annual Notice Page 1 of 3 REGISTERED LLP 2014 ANNUAL NOTICE Information completed in the following items will be used to change the data on the index. 4. Current street address of the principal office of the partnership: Current mailing address of the principal office of the partnership, if different from Street Address: 5. Current street address of the registered office of the partnership if the principal office is located outside the State of Alabama (the registered office must be located in Alabama): Current mailing address of the registered office of the partnership, if different from Street Address of the registered office (must be an address located in Alabama): 6. Name of current Registered Agent of the partnership if the principal office is located outside the State of Alabama: In order to change this information on the index the new Agent must sign here consenting to serve as Registered Agent [10A-1-5.32]: 7. Brief statement of the business in which the partnership engages: 8. The undersigned certify that the partnership continues to be registered as a registered limited liability partnership in the jurisdiction of formation. Date: / / Typed Name of Partner Signing Below Signature of Partner Authorizing Notice/Report LLP Annual Page 2 of 3 REGISTERED LLP 2014 ANNUAL NOTICE Additional partners may sign (print additional pages if necessary): Date: / / Typed Name of Partner Signing Below Signature of Partner Authorizing Notice/Report Date: / / Typed Name of Partner Signing Below Signature of Partner Authorizing Notice/Report Date: / / Typed Name of Partner Signing Below Signature of Partner Authorizing Notice/Report Date: / / Typed Name of Partner Signing Below Signature of Partner Authorizing Notice/Report LLP Annual Page 3 of 3 Secretary of State Payment Option Sheet: If you do not send a acknowledgement copy and a preaddressed postage paid envelope with the filling, you will not receive a credit card or prepaid account receipt from the Secretary of State’s Office. Office personnel will not be able to search credit card or prepaid account transactions to help you balance your accounts. Please do not use this option if you have problems collecting receipts from your filing agents. The document will be stamped showing the receipt of the filing fee but no convenience fees. MUST be typed or laser printed on a computer. Entity ID #: - Service Requested: (format 000-000) ✔ $100.00 Notice filing fee $100.00 Expedited Processing fee (must be included with initial filing – we will not be able to pull the filing to upgrade to expedited processing) Check is attached - Please make one check payable for the total amount of the combined fees (i.e., $200 if you are requesting expedited service) to the Alabama Secretary of State. Charge fees to prepaid account: Account Number and Account Name Typed Name & Signature of Authorized Individual on Account Credit Card Type: (Visa, MC, Discover & AmEx) Card Number: Expiration Mo/Yr: / (MM/YY) Card Holder Name: Complete Billing Address: Street or PO City State Zip Signature of Card Holder: MUST be Signature of Card Holder LLP Annual Notice Payment Sheet