Change Of Registered Agent And/or Registered Office Limited Cooperative Association - Nebraska Secretary Of State

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CHANGE OF REGISTERED AGENT
and/or REGISTERED OFFICE
LIMITED COOPERATIVE ASSOCIATION
Submit in Duplicate
John A. Gale, Secretary of State
Room 1301 State Capitol, P.O. Box 94608
Lincoln, NE 68509
(402) 471-4079
Name of Limited Cooperative Association
________________________________________
_____________________________________________________________________________
Current:
Registered Agents Name__________________________________________________________
Registered Agents Address _______________________________________________________
Street and Mailing Address
Zip
Registered Office Address ________________________________________NE_____________
Street and Mailing Address
City
Zip
New:
Registered Agents Name__________________________________________________________
Registered Agents Address _______________________________________________________
Street and Mailing Address
Zip
Registered Office Address ______________________________________NE_______________
Street and Mailing Address
City
Zip
This statement of change is effective when filed.
DATED___________________________
___________________________________
Signature of Officer or Authorized Representative
____________________________________
Printed Name and Title
FILING FEE: For Profit $30.00 plus $5.00 per page for any additional pages
Not for Profit $10.00 plus $5.00 per page for any additional pages
1/1/2008
Neb. Rev. Stat. 21-
2914

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