Free RETURN TO - South Dakota

Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773-4845

STATEMENT OF CHANGE OF REGISTERED OFFICE OR REGISTERED AGENT OR BOTH
Please Type or Print Clearly in Ink

FILE DATE

____________________

RECEIPT NO ___________________

Please submit one Original and one Photocopy

FILING FEE: $10 Make check payable to SECRETARY OF STATE
1. Corporate ID and Name:

Clear Form

Search for Corporate ID, Name and Agent

HELP
Telephone # ____________________ FAX # _______________________

2. The name of the registered agent on file ______________________________________________________________ The name of the successor registered agent __________________________________________________________ 3. If listing a Commercial Registered Agent, please state their identification number _____________________________ 4. The address of the agent currently on file for this entity ______________________________________________________________________________________________
Street Address (Required) City State ZIP+4

______________________________________________________________________________________________
Mailing Address (Optional) City State ZIP+4

5. If the address has changed, its new address ______________________________________________________________________________________________
Street Address (Required to be a South Dakota Address) City State ZIP+4

______________________________________________________________________________________________
Mailing Address (Optional ­ Required to be a South Dakota Address) City State ZIP+4

6. The address of its registered office and the address of the business office of its registered agent, as changed, must be identical.

The undersigned entity submits the following statement for purpose of changing its registered office and/or its registered agent in the State of South Dakota.

Dated ____________________________

______________________________________________
(Signature of an authorized officer)

______________________________________________
(Printed Name)

______________________________________________
(Title) Statementofchangeentity July2008