Department of Commerce, Community, and Economic Development
Division of Corporations, Business, and Professional Licensing
CORPORATIONS SECTION
PO Box 110808
Juneau AK 99811-0808
LIMITED LIABILITY COMPANY
NOTICE OF CHANGE OF MEMBERS AND/OR MANAGERS
Name of LLC ____________________________________
Alaska Entity #_________________
Prior Information
Name
Title
New Information
Name
Title
% Owned
Mailing Address
To list additional managers or members, provide the above information on an 8½” x 11” sheet of paper and attach it to this form.
AS 10.50.840. Execution of Documents.
a) Unless otherwise provided in this chapter, a document required by this chapter to be filed with the department by or for a limited
liability company shall be signed by
(1) a manager of the company if the company is managed by a manager;
(2) a member of the company if the articles of organization do not provide that the company is managed by a manager;
(3) a person organizing the company if the company is not organized;
(4) the fiduciary if the company is controlled by a receiver, trustee, or other court-appointed fiduciary.
(b) A person signing a document filed with the department under this chapter shall state beneath or opposite the signature the
person's name and the capacity in which the person signs.
(c) A person signing a document filed with the department under this chapter may sign as an attorney-in-fact, but is not required to
provide or file with the department a document authorizing the person to act as attorney-in-fact for the signing of a document.
Signature of Authorized Person
Capacity
Date
There are no fees associated with this filing. If there is a change in the registered agent of this LLC, a Registered Agent Registered
Address Statement of Change form is required. The form is available on our website at
or you can
call 907-465-2530 to request the form to be mailed or faxed to you.
Return this form to:
State of Alaska
Corporations Section
PO Box 110808
Juneau, AK 99811-0808
Form 08-638 (Rev. 04/14/09)