Form 635_0101 - Statement Of Change Of Designated Office And/or Agent

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(
) __________________
STATEMENT OF CHANGE
MICHAEL A. MAURO
OF DESIGNATED OFFICE
Secretary of State
AND/OR AGENT
State of Iowa
(Limited Partnership - Iowa Code Chap 488)
Pursuant to section 115 of the Iowa Uniform Limited Partnership Act, the undersigned submits this Statement to change the
limited partnership’s designated office and/or agent in Iowa. Read the INSTRUCTIONS on the back of this form before
completing the information and signing below.
1.
The NAME of the limited partnership is: _________________________________________________________________ .
2.
The street and mailing address of the CURRENT designated OFFICE as indicated on the Secretary of State’s records is:
__________________________________________________________________________________________________ .
street
city
state
zip
3.
The street and mailing address of the NEW designated OFFICE is:
__________________________________________________________________________________________________ .
street
city
state
zip
4.
The name of the CURRENT AGENT as indicated on the Secretary of State’s records is:
__________________________________________________________________________________________________ .
5.
The name of the NEW AGENT is: _____________________________________________________________________ .
6.
Signature: ____________________________________________________________________ Date: _______________
*See instruction #6 on back
PRINT Name and Title: __________________________________________________
Name and Title
Telephone Number
635_0101
rev. 04/07

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