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                                                                                    Limited Liability Partnership - Information Change
               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

     ENTITY TYPE:               DOMESTIC FOREIGN
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 OF LIMITED LIABILITY PARTNERSHIP:

2.  PRINCIPAL PLACE OF BUSINESS: (Street Address)                               3.  ADDRESS WHERE THE DIVISION MAY MAIL NOTICES:

                                                                NAME(S) AND ADDRESS(ES) OF PARTNER(S)

4.  PARTNER(S): (Name(s) and New Adress(es))                                    (Name and New Address)

5.  EXECUTION: 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:

 DATE:

 CONTACT NAME: (To resolve questions with this filing)                          FEES

                                                                                No Processing Fee   
 PHONE NUMBER: (Include area code)
                                                                                Free copies are available at sos.oregon.gov/business using the Business Name Search program.

     Limited Liability Partnership - Information Change  (11/17)






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