Fillable Form 623 - Registration Filing Addendum (Page 3 of 3) in pdf

INSTRUCTIONS FOR REGISTRATION FILING ADDENDUM

NOTE: The filing addendum form is required to submitted to the Las Vegas Office of the Common-Interest

Communities Program for any change in the contact information of a member of the executive board within 30

days for Nevada Administrative Code (NAC) 116.385.

General Information

List the association’s name as filed with the Nevada Secretary of State (SOS).

List the subdivision name assigned by the county assessor’s office. Instructions on how to locate subdivision

name can be found on Division’s website at:

Indicate the entity number issued by the SOS for the business entity formed, as well as the date the association

incorporated with the SOS. This information is found at: ).

Indicate whether the association is identified in the governing documents as a master or sub. If neither, please

check the box listed as neither.

If the association is a sub association, the sub association is required to list the legal name of the master

association.

Reason Why Form is Submitted

The filing addendum should be submitted anytime a change has occurred after the annual registration filing has

been submitted. Please check the appropriate box indicating the reason why the form is submitted. If the form is

submitted because of a change to the board of directors, page 2 provides a section to identify these changes and is

required to be completed.

Address/Telephone Number

Indicate the mailing address used by the Division and provided to the public, if requested.

Indicate the mailing address of the management company. This address should be the address identified by the

management company to send correspondence – should be consistent throughout the company.

Board Members

List the number of board members required to fill the board of directors as indicated in the governing documents.

List the current number of members on the board of directors.

List the current number of officers and the offices held.

Of the offices held, how many offices are held by persons other than a unit owner? Identify the offices that non-

unit owners hold.

Board Titles

Add – List the board members that became board members after the filing of the annual registration form and

their term dates. Identify which title that person holds. If additional space is needed, please use a separate sheet

of paper.

Remove– List the board members that were listed on the most recent annual registration form submitted to the

Division, but are no longer on the board. Identify the title the person held and the reason the person is no longer

on the board.

Authorized Signature

The person signing the form must be the Declarant, Board Member or the Community Manager attesting to the

accuracy of the information provided, regardless of whether they completed the form. Community Managers are

required to print and sign name as listed on the license issued by the Division.

Revised 8/13/15

Page 3 of 3

Form 623

Form 623 - Registration Filing Addendum Page 3