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Form Ar: 0009 - Corporation (Not For Llcs) Statement Of Change Of Known Place Of Business Or Statutory Agent

CORPORATION (Not for LLCs)

NO FILING FEE REQUIRED

STATEMENT OF CHANGE OF

KNOWN PLACE OF BUSINESS OR STATUTORY AGENT

Pursuant to A.R.S. §§10-502, 10-1508, 10-11508 & 10-3502

NOTE: It is critical that the Corporation Commission receive information about the existing (old) official address and/or

agent data as well as the new address or agent data. Please check with our Customer Call Center (602) 542-3026 or our

web site, to obtain the correct information.

1. The exact name of the corporation on file with the Arizona Corporation Commission (ACC) is:

______________________________________________________________________________

2. The ACC file number is: _________________________________

3. The known place of business currently on file with the ACC is:

________________________________________

4. The name and street address of the current statutory agent on file with the ACC is:

_________________________________________



(A)

The known place of business in ARIZONA is to be changed. The street address

of the new known place of business is:

________________________________________________________________



(B)

Foreign corporations only:

The known place of business in the State or Country in which the corporation was

incorporated is to be changed. The new foreign address is:

________________________________________________________________

Indicate which address in which general correspondence can be mailed.

5(A)________ or 5(B)________.



(A)

The address of the statutory agent is to be changed.*

(If the statutory agent has a P.O.

box or personal mail box (PMB) then he/she must also provide a physical location/address).

___________________________________________________________

If only changing the statutory agent’s address, the statutory agent is the only individual who

must sign this statement. * By signing this document, the statutory agent acknowledges that

he/she has given the corporation written notice of this change.

AR: 0009

Arizona Corporation Commission

Rev: 06/2011

Corporations Division

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Form Ar: 0009 - Corporation (Not For Llcs) Statement Of Change Of Known Place Of Business Or Statutory Agent