Amendment/Cancellation - 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 
               Check the appropriate box below: 
                    AMENDMENT 
               (Complete only 1, 2, 3, 4, 7) 
                    CANCELLATION 
               (Complete only 1, 2, 5, 6, 7) 

REGISTRY NUMBER : 

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:

2) INITIAL REGISTRATION  ATED   OF  PPLICATIONA         :

                           AMENDMENT ONLY                                                                        CANCELLATION NOTICE ONLY
3) AMENDMENT(S):   (State the text of the amendment(s).)               5)          CANCELLATION NOTICE               :

                                                                                                    The registration of the partnership as a Limited Liability 
                                                                                                    Partnership is being withdrawn. 

                                                                       6)                          APPROVAL:
                                                                                                    This cancellation has been approved by partnership vote. 

4) ADOPTION DATE   :(The amendment(s) was adopted on the following
   date.  If more than one amendment was adopted, identify the date of
   adoption of each amendment.)

7) EXECUTION: (At least one 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 
PHONE NUMBER  :(Include area code.)                                                Processing Fees are nonrefundable.     Please make check payable to “Corporation Division.” 
                                                                                   Free copies are available at   sos.oregon.gov\business, using the Business Name Search program. 

 131 - Amendment Cancellation - Limited Liability Partnership (11/17)