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Form Ss-4252 - Change Of Registered Office By Agent (Limited Liability Company) - Departmrent Of State Tennessee

For Ofﬁce Use Only

CHANGE OF REGISTERED OFFICE

BY AGENT

(LIMITED LIABILITY COMPANY)

Corporate Filings

312 Eighth Avenue North

Floor, William R. Snodgrass Tower

Nashville, TN 37243

Pursuant to the provisions of §48-208-102(b) of the Tennessee Limited Liability Company Act or §48-249-110(b) of the

Tennessee Revised Limited Liability Company Act, the undersigned agent hereby submits this application:

1. The name of the Limited Liability Company is:

2. The street address of its current registered oﬃce is:

(include complete street address, city, state and zip below)

3. The name of the current registered agent is:

4. The street address of the new registered oﬃce.

(include complete street address, city, state, zip and county below.)

5. After the change, the street addresses of the registered oﬃce and the business oﬃce of the

registered agent will be identical.

6. The Limited Liability Company has been notiﬁed of the change of address for the registered oﬃce.

Signature Date

Name of Limited Liability Company

Signer’s Capacity

Signature

Name (typed or printed)

SS-4252 (Rev. 01/06)

Filing Fee: $20

RDA 2458

Form Ss-4252 - Change Of Registered Office By Agent (Limited Liability Company) - Departmrent Of State Tennessee