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                                                                            Application for Authorization - Foreign 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 

                                                                                                                                                                     Print Form

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 :

   NOTE: Must contain the words “Limited Liability Partnership” or the abbreviation “LLP” or “L.L.P.” Must be identical to the name of record in home jurisdiction. 

2) STATE OR COUNTRY OF  EGISTRATIONR         :                                       6) BRIEF STATEMENT OF  RIMARY P           USINESS B     CTIVITYA       :

   Date of Registration: 

3) REGISTRY NUMBER IN  OME H     URISDICTIONJ

   OR:  C ERTIFICATE OF EXISTENCE                     (ATTACHED) 
   (Please provide a web-verifiable registry number from the entity’s home 
   jurisdiction. Certain states, such as Delaware and New Jersey, do not             7) NAME AND ADDRESS OF  T AEAST L         WO TARTNERSP                 :
   provide status information online. 
   Entities from such places must instead attach an official certificate of 
   existence, current within 60 days of delivery to this office. 
4) ADDRESS OF PRINCIPAL  FFICEO          OF  USINESSB      :

5) ADDRESSWHERE THE DIVISION             MAYMAIL NOTICES         :

8) 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:

CONTACT NAME     :(To resolve questions with this filing.)                              FEES 
                                                                                         Required Processing Fee     $275 
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. 

 140 - Application for Authorization - Foreign Limited Liability Partnership (11/17) 






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