Non-Profit Statement Of Change Of Registered Office, Or Registered Agent, Or Both - South Dakota Secretary Of State

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NON-PROFIT
SECRETARY OF STATE
STATEMENT OF CHANGE OF REGISTERED OFFICE,
STATE CAPITOL
500 E. CAPITOL AVE.
OR REGISTERED AGENT, OR BOTH
PIERRE, S.D. 57501
Clear Form
FILING FEE: $5
605-773-4845
Print
Pursuant to the provisions of the South Dakota Corporation Acts, the undersigned corporation submits the following statement for the purpose
of changing its registered office and/or its registered agent in the state of South Dakota.
1. The name of the corporation is ________________________________________________________________________________
_________________________________________________________________________________________________________
2. The previous street address, or a statement that there is no street address, of its registered office ____________________________
______________________________________________________________________ ZIP _______________________________
3. The street address, or a statement that there is no street address, to which the registered office is to be changed is
_________________________________________________________________________________________________________
______________________________________________________________________ ZIP _______________________________
4. The name of its previous registered agent is ______________________________________________________________________
5. The name of its successor registered agent is * ____________________________________________________________________
* The Consent of Registered Agent below must be completed by the new agent.
6. The address of its registered office and the address of the business office of its registered agent, as changed, will
be identical.
7. This change has been authorized by resolution duly adopted by the board of directors.
The statement may be signed by the chairman of the board of directors, by its president or by another of its officers.
Date __________________
___________________________________________________
(Signature)
___________________________________________________
(Title)
CONSENT OF APPOINTMENT BY THE REGISTERED AGENT
I, ______________________________________________, hereby give my consent to serve as the
(name of registered agent)
registered agent for _____________________________________________________________________
(corporate name)
Dated ____________________
____________________________________
(signature of registered agent)
nonprofitstatementofchange July 2005

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