Form 9 - Statement Of Change Of Registered Office Or Registered Agent, Or Both, By Corporation - State Of New Hampshire Page 2

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State of New Hampshire
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Filing fee: $l5.00
Form 9
Use black print or type.
RSA 293-A:5.02(a) and
RSA 293-A:15.08(a)
STATEMENT OF CHANGE OF REGISTERED OFFICE
OR REGISTERED AGENT, OR BOTH, BY CORPORATION
PURSUANT TO THE PROVISIONS OF THE NEW HAMPSHIRE BUSINESS CORPORATION ACT,
THE UNDERSIGNED CORPORATION, ORGANIZED UNDER THE LAWS OF THE STATE OF
____________________________ SUBMITS THE FOLLOWING STATEMENT FOR THE PURPOSE
OF CHANGING ITS REGISTERED OFFICE OR ITS REGISTERED AGENT, OR BOTH, IN THE
STATE OF NEW HAMPSHIRE:
FIRST: The name of the corporation is:
.
SECOND: The name of its registered agent is recorded as:
.
THIRD: The street address, town/city of its registered office is recorded as:
.
FOURTH: The name of its new registered agent is (Note 1):
.
FIFTH: The street address, town/city of its new registered office is (Note 1):
.
SIXTH: The street address, town/city of its registered office and the address of the business office of its
registered agent, as changed, will be identical.
SEVENTH: (This article is to be completed only if the entity is a foreign corporation): I hereby consent
to serve as registered agent for this corporation:
.
(signature of new registered agent)
EIGHTH: This document must be executed by the chairman of the board of directors, president or
another officer below.
(Note 2)
(Signature)
(Print or type name)
(Note 2)
(Title)
Date signed:
DISCLAIMER: All documents filed with the Corporate Division become public records and will be
available for public inspection in either tangible or electronic form.
Mail fee with DATED AND SIGNED ORIGINAL to: Corporate Division, Department of State, 107
North Main Street, Concord, NH 03301-4989.
Form 9 (3/2009)

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