Free ss-4433.indd - Tennessee

For Office Use Only

CHANGE OF REGISTERED OFFICE (BY AGENT)
Corporate Filings 312 Rosa L. Parks Avenue 6th Floor, William R. Snodgrass Tower Nashville, TN 37243

Pursuant to the provisions of Sections §48-15-102 or §48-25-108 of the Tennessee Business Corporation Act or Sections §48-55-102 or §48-65-108 of the Tennessee Nonprofit Corporation Act, the undersigned agent hereby submits this application: 1. The name of the corporation is: ___________________________________________

_________________________________________________________.
2. The street address of its current registerd office is: ______________________________________ . 3. The name of the current registered agent is: ___________________________________

_________________________________________________________.
4. The street address of the new registered office, the zip code of such office, and the county in which the office is located is: ____________________________________________ . 5. After the change, the street addresses of the registered office and the business office of the registered agent will be identical. 6. The corporation has been notified of the change of address for the registered office.

Signature date

Signature

Signer's Capacity

Name (typed or printed)

SS-4433 (Rev. 07/08)

RDA 1678