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Sec. 178.40 Wis. Stats.

State of Wisconsin DEPARTMENT OF FINANCIAL INSTITUTIONS Division of Corporate & Consumer Services

DOMESTIC OR FOREIGN LIMITED LIABILITY PARTNERSHIP REGISTRATION STATEMENT AMENDMENT
1. Name of the partnership (prior to any change caused by this amendment. If the partnership is registered under a fictitious name, indicate the fictitious name):

2. Date of filing of the original registration statement in Wisconsin:

3. This document was drafted by (Name the individual who drafted the document)

4. Select and mark (X) the appropriate choice below:

! The partnership is formed under the laws of Wisconsin
OR

! The partnership is a foreign limited liability partnership, formed and registered under the
laws of the state of 5. The registration statement is amended as follows: .

! Contingent statement

This amendment changes the partnership's name to a name that does not satisfy sec. 178.42 of the Wisconsin Statutes, and the partnership proposes to continue its registration under the following fictitious name: __________________________________________________________________________________ FILING FEE - $40.00. See instructions, suggestions, and procedures on following pages. DFI/CORP/604(R2/03) Use of this form is mandatory. (Earlier editions, 1996 or later, may be used) 1 of 3

6. (Partner's signature) (Date executed) (Typed or printed name) (Partner's signature) (Typed or printed name)

(See instructions for authorized signatures)

INSTRUCTIONS (Ref. sec. 178.40, Wis. Stats. for document content) Submit one original and one exact copy to Department of Financial Institutions, P O Box 7846, Madison WI, 53707-7846, together with a FILING FEE of $40.00, payable to the department. Filing fee is non-refundable. (If sent by Express or Priority U.S. mail, address to 345 W. Washington Ave., 3rd Floor, Madison WI, 53703). This document can be made available in alternate formats upon request to qualifying individuals with disabilities. The original must include an original manual signature. Upon filing, the information in this document becomes public and might be used for purposes other than those for which it was originally furnished. If you have any questions, please contact the Division of Corporate & Consumer Services at 608-261-7577. Hearing-impaired may call 608-266-8818 for TTY. 1. Enter the name of the limited liability partnership as it is presently registered with the Department of Financial Institutions. If the partnership is registered under a fictitious name, indicate the fictitious name. 2. Provide the date of filing of the original registration statement in Wisconsin. 3. Sec. 182.01(3) provides that the statement shall not be filed unless the name of the person (individual) who drafted it is printed, typewritten or stamped thereon in a legible manner. If the document is not executed in Wisconsin, enter that remark. 4. Indicate if the limited liability partnership is formed under the laws of Wisconsin, or if not, the state under whose laws it is formed. 5. Enter the amendment(s) to the registration statement. If the amendment changes the partnership's name to a name that does not satisfy sec. 178.42, Wis. Stats., complete the Contingent Statement with a proposed fictitious name. See Note on page 3.

DFI/CORP/604(R2/03)

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DOMESTIC OR FOREIGN LIMITED LIABILITY PARTNERSHIP REGISTRATION STATEMENT AMENDMENT



Your name, return address and phone number during the day:
INSTRUCTIONS (Continued)

(

) ______ -

________

NOTE: The name of a domestic limited liability partnership, or any fictitious name it may adopt, must contain the words "registered limited liability partnership," "limited liability partnership" or end with the abbreviation "L.L.P." or "LLP." The name of a foreign limited liability partnership company must also include the required words or abbreviations previously mentioned or other words or abbreviations as may be required or authorized by the state in which it is organized. Contingent Statement is to be provided only if it is known or anticipated that the partnership's name is not available for use in Wisconsin. The partnership may not register under a fictitious name unless its actual name is indistinguishable from other entities on record with the Corporate & Consumer Services Division of the Department of Financial Institutions. 6. The document is to be executed by one or more partners authorized by the partnership, or as otherwise provided in the partnership agreement.

DFI/CORP/604I(R2/03)

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