Form Dnp - Nonprofit Corporation Articles Of Incorporation Page 3

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325 Don Gaspar, Suite 300 ∙ Santa Fe, NM 87501
(800) 477-3632 ∙
STATEMENT OF ACCEPTANCE OF APPOINTMENT
BY DESIGNATED INITIAL REGISTERED AGENT
I, ______________________________________________________________________,
hereby acknowledge that the undersigned individual or corporation accepts appointment
as Initial Registered Agent of ________________________________________________,
the corporation which is named in the annexed Articles of Incorporation.
_______________________________________________________
(Sign on this line if the registered agent named in the Articles of Incorporation is an individual.
If this line is signed, the two lines below do not apply and must be left blank.)
CORPORATION ACTING AS A REGISTERED AGENT ONLY
(If the following lines are used, the signature line above does not apply and must be left blank)
_______________________________________________________
(If the registered agent named in the Articles of Incorporation is a corporation, type or print
the name of that corporation here.)
By_____________________________________________________
(An authorized officer of the corporation being appointed as registered agent must sign here)
Form D-STMNT
(revised 06/13)

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