Natalie E. Tennant
Penney Barker, Manager
Secretary of State
Corporations Division
1900 Kanawha Blvd E.
Tel: (304)558-8000
Bldg 1, Suite 157-K
Fax: (304)558-8381
Charleston, WV 25305
APPLICATION TO APPOINT OR
FILE ONE ORIGINAL
Hrs: 8:30 a.m. – 5:00 p.m. ET
(Two if you want a filed
CHANGE PROCESS, OFFICERS,
stamped copy returned to you)
AND/OR ADDRESSES
FEE: $15.00
1. The company filing this change
Corporation
Limited Partnership
is registered as a:
Limited Liability Company
Voluntary Association
Limited Liability Partnership
Business Trust
Insurance Company/Agency
2. The change is filed for:
Company name ________________________________________
(Note: Enter information as previously
filed. No change can be accepted
_______________________________________________________
without this information.)
Principal
________________________________________
Office
Address as
________________________________________
Listed.
________________________________________
Home State:
_______________ WV Form. Date: __________
Change of Address (use appropriate lines for the type of address to be changed):
3.
Address Type
New Address
a. Principal Office
______________________________________________________
______________________________________________________
______________________________________________________
b. Principal Mailing
______________________________________________________
______________________________________________________
______________________________________________________
c. Designated Office
______________________________________________________
______________________________________________________
______________________________________________________
Form AAO
Office of the Secretary of State
Revised 10/09