Free Change of Registered Agent/Office - Illinois



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Print FORM NFP 105.10/105.20 (rev. Dec. 2003) STATEMENT OF CHANGE OF REGISTERED AGENT AND/OR REGISTERED OFFICE General Not For Profit Corporation Act Jesse White, Secretary of State Department of Business Services 501 S. Second St., Rm. 328 Springfield, IL 62756 217-782-7808 www.cyberdriveillinois.com Remit payment in the form of a check or money order payable to Secretary of State. ____________________________________ File #______________________________ Filing Fee: $5 Reset Approved: ___________ -------- Submit in duplicate -------- Type or Print clearly in black ink -------- Do not write above this line -------- 1. Corporate Name: _______________________________________________________________________________ 2. State or Country of Incorporation: __________________________________________________________________ 3. Name and Address of R

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FORM NFP 105.10/105.20 (rev. Dec. 2003) STATEMENT OF CHANGE OF REGISTERED AGENT AND/OR REGISTERED OFFICE General Not For Profit Corporation Act Jesse White, Secretary of State Department of Business Services 501 S. Second St., Rm. 328 Springfield, IL 62756 217-782-7808 www.cyberdriveillinois.com Remit payment in the form of a check or money order payable to Secretary of State. ____________________________________ File #______________________________ Filing Fee: $5

Reset

Approved: ___________

-------- Submit in duplicate -------- Type or Print clearly in black ink -------- Do not write above this line --------

1. Corporate Name: _______________________________________________________________________________ 2. State or Country of Incorporation: __________________________________________________________________ 3. Name and Address of Registered Agent and Registered Office as they appear on the records of the Office of the Secretary of State (before change): Registered Agent: _______________________________________________________________________________
First Name Middle Name Last Name

Registered Office: _______________________________________________________________________________
Number Street Suite # (P.O. Box alone is unacceptable)

Registered Office _______________________________________________________________________________
City ZIP Code County

4. Name and Address of Registered Agent and Registered Office shall be (after all changes herein reported): Registered Agent: _______________________________________________________________________________
First Name Middle Name Last Name

Registered Office: _______________________________________________________________________________
Number Street Suite # (P.O. Box alone is unacceptable)

Registered Office _______________________________________________________________________________
City ZIP Code County

5. The address of the registered office and the address of the business office of the registered agent, as changed, will be identical. 6. The above change was authorized by: ("X" one box only) a. Resolution duly adopted by the board of directors. (See Note 5 on reverse.) b. Action of the registered agent. (See Note 6 on reverse.)

SEE REVERSE FOR SIGNATURE(S).

Printed by authority of the State of Illinois. September 2008 -- 1 -- C 321.4

7. If authorized by the board of directors, sign here. (See Note 5 below.) The undersigned corporation has caused this statement to be signed by a duly authorized officer who affirms, under penalties of perjury, that the facts stated herein are true and correct. Dated _______________________________ , _____
Month & Day Year

________________________________________________
Exact Name of Corporation

______________________________________
Any Authorized Officers Signature

______________________________________
Name and Title (type or print)

If change of registered office by registered agent, sign here. (See Note 6 below.) The undersigned, under penalties of perjury, affirms that the facts stated herein are true and correct. Dated _______________________________ , _____
Month & Day Year

________________________________________________
Signature of Registered Agent of Record

________________________________________________
Name (type or print) If Registered Agent is a corporation, Name and Title of officer who is signing on its behalf.

NOTES 1. The registered office may, but need not be, the same as the principal office of the corporation. However, the registered office and the office address of the registered agent must be the same. 2. The registered office must include a street or road address (P.O. Box alone is unacceptable). 3. A corporation cannot act as its own registered agent. 4. If the registered office is changed from one county to another, the corporation must file with the Recorder of Deeds of the new county a certified copy of the Articles of Incorporation and a certified copy of the Statement of Change of Registered Office. Such certified copies may be obtained ONLY from the Secretary of State. 5. Any change of registered agent must be by resolution adopted by the board of directors. This statement must be signed by a duly authorized officer. 6. The registered agent may report a change of the registered office of the corporation for which he/she is a registered agent. When the agent reports such a change, this statement must be signed by the registered agent. If a corporation is acting as the registered agent, a duly authorized officer of such corporation must sign this statement.

Printed by authority of the State of Illinois. September 2008 -- 1 -- C 321.4

File Size: 110.6 kB
Pages: 2
File Format: PDF
State: Illinois
Category: Corporations
Word Count: 600 Words, 4,663 Characters
Page Size: Letter (8 1/2" x 11")
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