Free StatementOfChangeDirectorOfficer.pdf - Louisiana

JAY DARDENNE SECRETARY OF STATE

STATE OF LOUISIANA SECRETARY OF STATE

Commercial (225) 925-4704 (225) 922-0435 Fax Administrative Services (225) 925-4704 (225) 925-4726 Fax Uniform Commercial Code (225) 922-1193 (225) 922-0452 Fax

TRANSMITTAL INFORMATION For All Business Filings Please indicate below the level of service requested, payment and contact information
Routine Expedite $30 Check or Money Order Enclosed Credit Card Number: Expiration Date:

24 hour processing

Business Name (List exactly as it appears in documents)

Name of person filing document (evidence of filing will be mailed to this person, at address below)

Address

City

State

Zip Code

Daytime phone number

Fax number

Email address

NOTE: Louisiana Law requires all Louisiana notaries to print or type their name and notary or bar roll number on the document.

Mailing Address: P. O. Box 94125, Baton Rouge, LA * 70804-9125 Office Location: 8585 Archives Ave., Baton Rouge, LA * 70809 Web Site Address: www.sos.louisiana.gov
SS984 Rev. 10/08

Jay Dardenne Secretary of State

STATEMENT OF CHANGE OF DIRECTORS AND/OR OFFICERS OF A FOREIGN CORPORATION
Return to: Commercial Division P. O. Box 94125 Baton Rouge, LA 70804-9125 Phone (225) 925-4704 Web Site: www.sos.louisiana.gov

Foreign Corporation Enclose $25 filing fee Make remittance payable to: Secretary of State Do Not Send Cash

Company Name:

Notice is given that the Board of Directors of the above named corporation have authorized the removal of the following Directors and Officers:

Notice is given that the Board of Directors of the above named corporation have authorized the addition of the following Directors and Officers:

SS346A Rev. 02/09

(See instructions on back)

INSTRUCTIONS

1. 2.

This form is to be used when an existing foreign corporation changes the Director(s) and/or Officer(s). The change of Director(s) and/or Officer(s) must be authorized by the Board of Directors of the corporation, and signed by an officer of director.