Form Aao - Application To Appoint Or Change Process, Officers, And/or Addresses - West Virginia Secretary Of State Page 2
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Complete the Change of Officers or Other Persons in Authority:
5.
Officer Type
New Officer Name
New Officer Address
(check one for each new officer)
a.
President (Corp. VA)
________________________________
_______________________________
Member/Manager (LLC)
General Partner (LP, LLP)
_______________________________
Trustee (Bus. Trust)
________________________________
Other _____________________
Remove (previous officer name, if any)
b.
Vice President (Corp. VA)
________________________________
_______________________________
Member/Manager (LLC)
General Partners (LP, LLP)
_______________________________
Trustee (Bus. Trust)
________________________________
Other_____________________
Remove (previous officer name, if any)
c.
Secretary (Corp. VA)
________________________________
_______________________________
Member/Manager (LLC)
Limited Partner (LP)
_______________________________
General Partner (LLP)
________________________________
Trustee (Bus. Trust)
Remove (previous officer name, if any)
Other _____________________
d.
Treasurer (Corp. VA)
________________________________
_______________________________
Member/Manager (LLC)
Limited Partner (LP)
_______________________________
General Partner (LLP)
________________________________
Trustee (Bus. Trust)
Remove (previous officer name, if any)
Other _____________________
e.
Director (Corp. VA)
________________________________
_______________________________
Member/Manager (LLC)
Limited Partner (LP)
_______________________________
General Partner
________________________________
Trustee (Bus. Trust)
Remove (previous officer name, if any)
Other _____________________
6.
Name and phone number of contact person. (This information is optional, however, if there is a problem
with the filing, listing a contact person may avoid having to return or reject the document.)
__________________________________________________
______________________________
Contact Name
Phone Number
7.
Signature Information
(See below *Important Legal Notice Regarding Signature):
Print Name of Signer: _____________________________________
Title/Capacity: ___________________
Signature: _____________________________________________
Date: ________________________
*Important Legal Notice Regarding Signature:
Corporations/Voluntary Associations/Business Trusts/Unincorporated Nonprofit Associations/Limited
Partnerships -
Per West Virginia Code §31D-1-129. Penalty for signing false document. Any person who signs a document
he or she knows is false in any material respect and knows that the document is to be delivered to the Secretary of State for filing
is guilty of a misdemeanor and, upon conviction thereof, shall be fined not more than one thousand dollars or confined in the
county or regional jail not more than one year, or both. Limited Liability Companies/Limited Liability Partnerships - Per
West Virginia Code §31B-2-209. Liability for false statement in filed record. If a record authorized or required to be filed
under this chapter contains a false statement, one who suffers loss by reliance on the statement may recover damages for the loss
from a person who signed the record or caused another to sign it on the person's behalf and knew the statement to be false at the
time the record was signed.
Form AAO
Office of the Secretary of State
Revised 4/13
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