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                                                                                    Application for Registration - Limited Liability Partnership 
                 Secretary of State - Corporation Division - 255 Capitol St. NE, Suite 151 - Salem, OR 97310-1327 – sos.oregon.gov/business - Phone: (503) 986-2200 
 
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 REGISTRY NUMBER :                                                                                                                                               Reset Form
                       For office use only 
 
 In accordance with Oregon Revised Statute 192.410-192.490, the information on this application is public record. 
 We must release this information to all parties upon request and it will be posted on our website.                                                         For office use only 
 Please Type or Print Legibly in Black Ink.  Attach Additional Sheet if Necessary. 
 1)  NAME: (Must contain the words “Limited Liability Partnership” or the abbreviation “LLP” or “L.L.P.”) 
 
 2)  PRINCIPAL OFFICE  DDRESSA   :                                            5)   NAME AND ADDRESS OF  T AEAST L       WO TARTNERSP               : 
 
 3)  ADDRESSWHERE THE DIVISION         MAYMAIL NOTICES    : 
 
 4)  BRIEF STATEMENT OF  RIMARY P USINESS B      CTIVITYA : 
 
                                                                              6)   IF RENDERING A PROFESSIONAL SERVICE OR SERVICES,DESCRIBE THE 
                                                                                   SERVICE(S)BEING RENDERED           : 
 
                                                                              7)   THIS REGISTRATION HAS BEEN APPROVED BY PARTNERSHIP VOTE                              . 
 
 8)  EXECUTION: (Each Partner must sign.) 
     I declare as an authorized signer, under penalty of perjury, that this document does not fraudulently conceal, obscure, alter, or otherwise misrepresent the 
     identity of any person including officers, directors, employees, members, managers or agents.  This filing has been examined by me and is, to the best of my 
     knowledge and belief, true, correct and complete.  Making false statements in this document is against the law and may be penalized by fines, 
     imprisonment, or both. 

     Signature:                                             Printed Name:                                               Title or Capacity: 
 
 CONTACT NAME   :(To resolve questions with this filing.)                           FEES 
 
                                                                                    Required Processing Fee      $100 
                                                                                     
                                                                                    Processing Fees are nonrefundable.     Please make check payable to “Corporation Division.” 
 PHONE NUMBER   :(Include area code.)                                                
                                                                                    Free copies are available at sos.oregon.gov/business using the Business Name Search program. 
 
  130 - Application for Registration - Limited Liability Partnership (11/17) 






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