Free 1 - Mississippi

MISSISSIPPI SECRETARY OF STATE POST OFFICE BOX 136 JACKSON, MISSISSIPPI 39205-0136 CUSTOMER SERVICE 601-359-1633 www.sos.state.ms.us

Statement of Qualification of Domestic Limited Liability Partnership
Filing Fee $250.00. Type or print legibly in blue or black ink. Please do not highlight or write above this line.

1. Name of Limited Liability Partnership: 2. Street Address of Chief Executive Office: 3. Street Address of one Office Located in Mississippi, if any:

Street Address

City

State

Zip Code

Street Address

City

State

Zip Code

4. Name and Street address of agent for service of process
(required if partnership does not have an office in Mississippi

Name of Appointed Agent

Mailing Address

City

State

Zip Code

5. Deferred effective date, if any 6. The Partnership elects to be a limited liability partnership. Optional information:

Date

7. Continuing Sections:
(to continue information from any section, mark box and follow instructions)

Page(s) Attached

To continue information from any section(s) of this form, please: 1. Mark the box at the left.

8. Signatures: (must be
executed by at least 2 partners)(to continue on another page...see section 7)

2. Attach plain 8 ½" x 11" paper and specify which section(s) are being continued. I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF MISSISSIPPI THAT THE FOREGOING IS TRUE AND CORRECT OF MY OWN KNOWLEDGE ____________________________________________ Partner Signature ____________________________________________ Partner Signature

Submit completed form along with the filing fee of $250.00 to Mississippi Secretary of State, Business Services Division, Post Office Box 136, Jackson, Mississippi 39205-0136.

Effective Date: January 1, 2007

SOS PARTNERSHIP FORM FS 0710