Limited Liability Company Statement Of Change Of Resident Agent/resodent Office Form Page 2
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1
2COMMONWEALTH OF MASSACHUSETTS
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Limited Liability Company
Statement of Change of
Resident Agent/Resident Office
(General Laws Chapter 156C, Section 5A and Section 51)
I hereby certify that upon examination of this certificate of change, duly submitted
to me, it appears that the provisions of the General Laws have been complied with,
and I hereby approve said statement; and the filing fee in the amount of $
______
having 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 LIABILITY COMPANY
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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