Free RETURN TO - South Dakota

Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773-4845

ANNUAL REPORT
DOMESTIC LLP
Please Type or Print Clearly in Ink

FILE DATE

____________________

RECEIPT NO ___________________

FILING FEE: $50 Make check payable to SECRETARY OF STATE
1. L.L.P. ID and Name:

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Search for Corporate ID, Name and Agent

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Telephone # ____________________ FAX # _______________________

FILING DATE: Due during the anniversary month of Registration and delinquent after the last day of the following month.

2. The address of the principal or chief executive office. ______________________________________________________________________________________________
Street Address City State ZIP+4

______________________________________________________________________________________________
Mailing Address (Optional) City State ZIP+4

IF ADDRESS IN #2 IS NOT A SOUTH DAKOTA ADDRESS QUESTION #3 IS REQUIRED.

3. The name of the South Dakota Registered Agent _______________________________________________________ ______________________________________________________________________________________________
Street Address (Required to be a South Dakota Address) City State ZIP+4

______________________________________________________________________________________________
Mailing Address (Optional ­ Required to be a South Dakota Address) City State ZIP+4

4. The names and business addresses of its partners. ______________________________________________________________________________________________
Partner Street Address City State ZIP+4

______________________________________________________________________________________________
Partner Street Address City State ZIP+4

______________________________________________________________________________________________
Partner Street Address City State ZIP+4

______________________________________________________________________________________________
Partner Street Address City State ZIP+4

Dated ____________________________

______________________________________________
(Signature of Partner)

______________________________________________
(Printed Name)

______________________________________________
(Title)

Annualreportllp July 2009