15.
STATUTORY AGENT CHANGE – ADDRESS OF EXISTING STATUTORY AGENT –
complete 15.1 and/or 15.2:
15.1 NEW physical or street address
15.2 NEW mailing address in Arizona
(not a P.O. Box) in Arizona of the
of the existing statutory agent (can
existing statutory agent:
be a P.O. Box):
Attention (optional)
Attention (optional)
Address 1
Address 1
Address 2(optional)
Address 2 (optional)
Zip
City
Zip
City
State
State
16.
OTHER AMENDMENT – if an amendment was made that was not addressed by the check
boxes on this form, then you must attach to these Articles of Amendment a complete copy
of the amendment.
SIGNATURE:
By checking the box marked "I accept" below, I acknowledge under penalty of
perjury that this document together with any attachments is submitted in
compliance with Arizona law.
I ACCEPT
Signature
Printed Name
Date
REQUIRED – check only one and fill in the corresponding blank if signing for an entity:
I am the individual Manager of this
I am a Member of this member-
I am a duly authorized
manager-managed LLC or I am
managed LLC or I am signing for an
agent for this LLC.
signing for an entity manager
entity member named:
named:
Filing Fee: $25.00 (regular processing)
Mail:
Arizona Corporation Commission - Corporate Filings Section
Expedited processing – add $35.00 to filing fee.
1300 W. Washington St., Phoenix, Arizona 85007
All fees are nonrefundable - see Instructions.
Fax:
602-542-4100
Please be advised that A.C.C. forms reflect only the minimum provisions required by statute. You should seek private legal counsel for those matters that may pertain
to the individual needs of your business.
All documents filed with the Arizona Corporation Commission are public record and are open for public inspection.
If you have questions after reading the Instructions, please call 602-542-3026 or (within Arizona only) 800-345-5819.
L017.001
Arizona Corporation Commission – Corporations Division
Rev: 2010
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