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Statement Of Change Of Registered Agent Or Registered Office Or Both - Alabama Secretary Of State

TATE OF

LABAMA

TATEMENT OF

HANGE OF

EGISTERED

GENT OR

EGISTERED

FFICE OR

OTH

___ F

HECK ONE

OREIGN

ORPORA TION

___ D

OMESTIC

ROFIT

ORPORA TION

URSUANT TO THE PROVISIONS OF THE

LABAMA

USINESS

ORPORA TION

THE UNDERSIGNED CORPORA TION SUBMITS

THE FOLLOWING STA TEMENT FOR THE PURPOSE OF CHANGING ITS REGISTERED AGENT

ITS REGISTERED OFFICE

OR BOTH IN THE

TA TE OF

LABAMA

State of Incorporation: ______________________________________________________________

1. The name of the corporation:

2. The name of the present registered agent:

3. The street address of the present registered office:

4. The name of its successor registered agent:

5. The street address to which its registered office is to be changed (street address of registered

agent and registered office must be identical; NO PO BOX):

6. If you are changing the street address of the registered agent, you are required to notify the

corporation in writing of the change in the registered agent's address.

7. Date: __________________________________

Name of Corporation

Type or Print Corporate Officer's Name and Title

Signature of Officer

I, _____________________________________________, consent to serve as

registered agent to the above named corporation on this, the ______ day of

__________________________, 19 ___.

Signature of Registered Agent

$5.00

AIL ORIGINAL APPLICATION WITH THE FILING FEE OF

, C

, P

5616, M

, A

36103-5616

ECRETARY OF

TATE

ORPORA TE

ECTION

OST

FFICE

ONTGOMERY

LABAMA

1/95

Statement Of Change Of Registered Agent Or Registered Office Or Both - Alabama Secretary Of State

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