Free $0.00 - Alaska

Department of Commerce, Community, and Economic Development Division of Corporations, Business, and Professional Licensing CORPORATIONS SECTION PO Box 110808 Juneau AK 99811-0808

LIMITED LIABILITY COMPANY NOTICE OF CHANGE OF MEMBERS AND/OR MANAGERS

Name of LLC ____________________________________ Prior Information Title

Alaska Entity #_________________

Name

Name

Title

New Information % Owned

Mailing Address

To list additional managers or members, provide the above information on an 8½" x 11" sheet of paper and attach it to this form. AS 10.50.840. Execution of Documents. a) Unless otherwise provided in this chapter, a document required by this chapter to be filed with the department by or for a limited liability company shall be signed by (1) a manager of the company if the company is managed by a manager; (2) a member of the company if the articles of organization do not provide that the company is managed by a manager; (3) a person organizing the company if the company is not organized; (4) the fiduciary if the company is controlled by a receiver, trustee, or other court-appointed fiduciary. (b) A person signing a document filed with the department under this chapter shall state beneath or opposite the signature the person's name and the capacity in which the person signs. (c) A person signing a document filed with the department under this chapter may sign as an attorney-in-fact, but is not required to provide or file with the department a document authorizing the person to act as attorney-in-fact for the signing of a document.

Signature of Authorized Person

Capacity

Date

There are no fees associated with this filing. If there is a change in the registered agent of this LLC, a Registered Agent Registered Address Statement of Change form is required. The form is available on our website at www.corporations.alaska.gov or you can call 907-465-2530 to request the form to be mailed or faxed to you. Return this form to: State of Alaska Corporations Section PO Box 110808 Juneau, AK 99811-0808

Form 08-638 (Rev. 04/14/09)