Form Ss-4433 - Change Of Registered Office (By Agent)

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For Office Use Only
CHANGE OF REGISTERED
OFFICE (BY AGENT)
Corporate Filings
312 Eighth Avenue North
6 th Floor, William R. Snodgrass Tower
Nashville, TN 37243
Pursuant to the provisions of Sections 48-15-102 or 48-25-108 of the Tennessee Business Corporation Act or Sections
48-55-102 or 48-65-108 of the Tennessee Nonprofit Corporation Act, the undersigned agent hereby submits this
application:
1. The name of the corporation is
.
2. The street address of its current registered office is
.
3. The name of the current registered agent is
.
4. The street address of the new registered office, the zip code of such office, and the county in which the office
is located is
.
5. After the change, the street addresses of the registered office and the business office of the registered agent
will be identical.
6. The corporation has been notified of the change of address for the registered office.
Signature Date
Name of Corporation
Signer's Capacity
Signature
Name (typed or printed)
SS-4433 (Rev. 6/00)
RDA 1678

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