Form Ro - Corporation Change Of Registered Office Or Agent

Kansas Secretary of State

RO

Corporation Change of Registered Office or Agent

All information must be completed or this document will not be accepted for filing.

1. Name of the corporation

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Name must match the name on record with the Secretary of State

2. State of organization ____________________________

3. The registered office in the state of Kansas is changed to:

(Address must be a street address. A post office box is

unacceptable.)

Do not write in this space

__________________________________________________________________________________________

Street Address

City

State

Zip Code

4. The resident agent in Kansas is changed to:

__________________________________________________________________________________________

Individual or Kansas Corporation

I declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct.

Executed on the ________ of ___________, _____________.

Day

Month

Year

____________________________________________

President or Vice President

____________________________________________

Secretary or Assistant Secretary

Please submit this form in duplicate with the $20 filing fee.

Contact Information

Kansas Secretary of State

Ron Thornburgh

Memorial Hall, 1st Floor

120 SW 10th Avenue

Topeka, KS 66612-1240

785-296-4564

Rev. 7/01 hb

K.S.A. 17-6203