D F
The Commonwealth of Massachusetts
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Limited Liability Company
FORM MUST BE TYPED
FORM MUST BE TYPED
Statement of Change of Resident
Office Address by Resident Agent
(General Laws Chapter 156C Section 5A and Section 51)
Name of agent: ________________________________________________________________________________________
Exact name of limited liability company: ____________________________________________________________________
Current resident agent office address: _______________________________________________________________________
(number, street, city or town, state, zip code)
New resident agent office address: _________________________________________________________________________
(number, street, city or town, state, zip code)
The street address of the resident office of the limited liability company and the business address of the resident agent are identical
as required by G.L. Chapter 156C, Section 5A, Section 51and G.L. C156D Section 15.08.
It is further certified that the limited liability company has been notified in writing of this change as required by Section 5A and
Section 51.
This certificate is effective at the time and on the date approved by the Division.
Signed by: ___________________________________________________________________________________________ ,
(signature of resident agent)
on this ___________________________________ day of ______________________________of ____________________ .
c156cdfllcaddress 08/05/08