Free Change of Registered Agent/Office (By Corporation) - Tennessee

For Office Use Only

CHANGE OF REGISTERED AGENT/OFFICE (BY CORPORATION)
Corporate Filings 312 Eighth Avenue North 6th Floor, William R. Snodgrass Tower Nashville, TN 37243

Pursuant to the provisions of Section 48-15-102 or 48-25-108 of the Tennessee Business Corporation Act or Section 48-55-102 or 48-65-108 of the Tennessee Nonprofit Corporation Act, the undersigned corporation hereby submits this application:

1. The name of the corporation is . 2. The street address of its current registered office is . 3. If the current registered office is to be changed, the street address of the new registered office, the zip code of such office, and the county in which the office is located is . 4. The name of the current registered agent is . 5. If the current registered agent is to be changed, the name of the new registered agent is . 6. After the change(s), the street addresses of the registered office and the business office of the registered agent will be identical.

Signature Date Signer's Capacity

Name of Corporation Signature Name (typed or printed)

SS-4427 (Rev. 6/03)

Filing Fee $20.00

RDA 1678