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State of New Hampshire
Form 9-A RSA 293-A:5.02 (b) and RSA 293-A:15.08 (b)
Filing fee: $15.00 Use black print or type. Leave 1" margins on both sides.
STATEMENT OF CHANGE OF REGISTERED OFFICE BY REGISTERED AGENT PURSUANT TO THE PROVISIONS OF THE NEW HAMPSHIRE BUSINESS CORPORATION ACT, THE UNDERSIGNED SUBMITS THE FOLLOWING STATEMENT FOR THE PURPOSE OF CHANGING THE REGISTERED OFFICE OF THE CORPORATION(S) LISTED BELOW FOR WHICH HE/IT SERVES AS REGISTERED AGENT: FIRST: Name of corporation(s):
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SECOND: The street address, town/city of the present registered office for each corporation listed above is: . THIRD: The street address, town/city to which the registered office is to be changed: . FOURTH: The name of the present registered agent is: FIFTH: The street address, town/city of the registered office and the address of the business office of the registered agent, as changed, will be identical. SIXTH: All the listed corporations have been notified in writing of the change in registered office. (Note 1)
(Signature) (Print or type name)
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(Note 1)
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Date signed: Notes: 1. Must be signed manually or in facsimile by agent. If agent is a corporation, signature (manually or facsimile) of chairman of the board of directors, president or by another officer; or see RSA 293-A:1.20(f) for alternative signatures. DISCLAIMER: All documents filed with the Corporate Division become public records and will be available for public inspection in either tangible or electronic form. Mail fee with DATED and SIGNED ORIGINAL to: Corporate Division, Department of State, 107 North Main Street, Concord NH 03301-4989.
Form 9-A (3/2009)