Form Poc - Statement Of Change Principal Office Address Page 2

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(09/09)
FILING INSTRUCTIONS
STATEMENT OF CHANGE OF PRINCIPAL OFFICE ADDRESS
NAME
Use the exact name of the business entity as registered on file with the Office of the Secretary of State.
PRINCIPAL OFFICE ADDRESS
The principal office is the office (in or out of this state) so designated in writing with the Office of the Secretary of State where the
principal designated office of the business entity is located.
DOCUMENT DELIVERY
All documents will be sent to the return address on the outer envelope. If no address is found, the documents will be sent to the
principal office. If the applicant wishes for correspondence from the Office of the Secretary of State to be sent to someone other
than those above, a request must be submitted in writing affirming that request. All other communication and notification shall follow
the process prescribed in Kentucky Revised Statute.
WHO MAY SIGN
The document must be signed by an officer, chairman of the board, member, manager or a partner.
NUMBER OF COPIES
When filing online with the FastTrack system, no copies are required. If filing via mail or in person, one exact copy of the document
with the filing fee must be submitted to the address below. To make a copy of the filing for delivery to the local county clerk’s office,
visit and print a copy from the organization search tool.
FILING FEE
The filing fee for this document is $10.00 for profit corporations, limited liability companies, limited partnerships, and limited liability
partnerships and $5.00 for non-profits. Checks should be made payable to the "Kentucky State Treasurer."
MAILING ADDRESS
OFFICE LOCATION
Trey Grayson
Room 154, Capitol Building
Office of the Secretary of State
700 Capital Avenue
P. O. Box 718
Frankfort, KY 40601
Frankfort, KY 40602-0718
Hours of Operation: 8:00 AM-4:30 PM ET
CONTACT INFORMATION
If you have any questions, please feel free to visit our website at or call 502-564-3490.

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