Limited Liability Company Statement Of Change Of Resident Office Address By Resident Agent Form Page 2

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COMMONWEALTH OF MASSACHUSETTS
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Limited Liability Company
Statement of Change of Resident
Office Address by Resident Agent
(General Laws Chapter 156C Sections 5A and 51)
I hereby certify that upon examination of this statement of change, duly sub
-
mitted to me, it appears that the provisions of the General Laws relative to the
organization of limited liability companies have been complied with, and I
hereby approve said statement; and the filing fee in the amount of $_____hav-
ing been paid, said statement is deemed to have been filed with me this
_____________ day of _____________, 20______ , at _______a.m./p.m.
time
WILLIAM FRANCIS GALVIN
Secretary of the Commonwealth
Filing fee: $25 for paper or fax filings.
No fee if filed electronically.
TO BE FILLED IN BY LIMITED PARTNERSHIP
Contact Information:
___________________________________________________________
___________________________________________________________
___________________________________________________________
Telephone:
___________________________________________________
Email:
______________________________________________________
Upon filing, a copy of this filing will be available at
If the document is rejected, a copy of the rejection sheet and rejected document will
be available in the rejected queue.

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