CHANGE OF REGISTERED AGENT and/or REGISTERED OFFICE LIMITED LIABILITY COMPANY
Submit in Duplicate
John A. Gale, Secretary of State Room 1301 State Capitol, P.O. Box 94608 Lincoln, NE 68509 (402) 471-4079
http://www.sos.state.ne.us
Name of Limited Liability Company_____________________________________________
_____________________________________________________________________________
Previous:
Registered Agent: Registered Office: __________________________________________________________ _________________________________________NE________________
Street Address and post office box number (if any) City Zip
The following change was authorized by an affirmative vote of a majority in interest of the members of the limited liability company: New:
Registered Agent: ___________________________________________________________
Street Address and post office box number (if any) City Zip
Registered Office: __________________________________________NE_______________
The address of the registered office and the address of the business office of the registered agent is identical. DATED___________________________
___________________________________
Signature of Authorized Representative
____________________________________
Printed Name of Authorized Representative
FILING FEE: $15.00
Revised 07/01/2008 Neb. Rev. Stat. 21-2610