Free Resignation Of Registered Agent - Tennessee

For Office Use Only

RESIGNATION OF REGISTERED AGENT
Corporate Filings 312 Eighth Avenue North 6th Floor, William R. Snodgrass Tower Nashville, TN 37243

Pursuant to the provisions of Section 48-15-103 or 48-25-109 of the Tennessee Business Corporation Act or Section 48-55-103 or 48-65-109 of the Tennessee Nonprofit Corporation Act, the undersigned hereby submits this statement:

1. The name of the corporation is . 2. I hereby resign as the registered agent for the above-named corporation.

3.

The registered office of the corporation is hereby discontinued.

The registered office of the corporation is continued. [Note: Please check the applicable box in #3.]

4. A copy of this notice has been mailed by certified mail to the principal office of the corporation.

5. The resignation will be effective on the date it is filed by the Secretary of State.

Signature Date

Signature

Resigning Registered Agent

Name (typed or printed)

SS-4420 (Revised 10/03)

Filing Fee: $20

RDA 1678