Form Aao - Application To Appoint Or Change Agent For Process, Officers, And/or Office Addresses Page 2

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5.
Complete for Change of Officers or Other Persons in Authority:
Officer Type
New Officer Name
New OfficerAddress
(check one title for each new officer.)
__ President (Corp, VA)
a.
__ Manager (LLC)
[Replaces______________________]
__ General Partner (LP, LLP)
(Previous officer name, if any)
__ Trustee (Bus. Trust)
__ Other ______________
__ Vice President (Corp, VA)
b.
__ Manager (LLC)
__ General Partner (LP, LLP)
[Replaces______________________]
__Trustee (Bus. Trust)
(Previous officer name, if any)
__ Other ______________
__ Secretary (Corp, VA)
c.
__ Member (LLC)
__ Limited Partner (LP)
[Replaces______________________]
__ General Partner (LLP)
(Previous officer name, if any)
__ Trustee (Bus. Trust)
__ Other ______________
__ Treasurer (Corp, VA)
d.
__ Member (LLC)
__ Limited Partner (LP)
[Replaces______________________]
__ General Partner (LLP)
(Previous officer name, if any)
__Trustee (Bus. Trust)
__ Other ______________
__ Director (Corp, VA)
e.
__ Member (LLC)
__ Limited Partner (LP)
[Replaces______________________]
__ General Partner (LLP)
(Previous officer name, if any)
__Trustee (Bus. Trust)
__ Other ______________
ACKNOWLEDGMENT: Application must be signed by an officer or other authorized person of the company whose name is on file
with the WV Secretary of State’s Office. If the name is not on file as a current officer, one of the following must accompany this form:
1.
For a corporation, a copy of the minutes of the Board of Directors, reflecting the election or appointment of new officers,
which copy includes or is accompanied by a notarized statement of authenticity, signed by at least one director; or
2.
A court order reflecting the identity of the current officers, or the authorization of any person to act for any officer or;
3.
Any other legally authorized document assigning to the person executing or verifying the document clear authority to execute
or verify documents on behalf of the corporation.
Name (please print)
Title
Signature
State of _________________
The foregoing instrument was acknowledged before me on behalf of the
County of _______________
______________(company type) on _________________________(date)
by________________________________(name of signer) of __________
_________________________(company name), a _______(state) company.
Notary Signature
Notary Seal

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