Free ss-4225.indd - Tennessee

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Corporate Filings 312 Rosa L. Parks Avenue 6th Floor, William R. Snodgrass Tower Nashville, TN 37243

CHANGE OF REGISTERED AGENT/OFFICE (BY A LIMITED LIABILITY COMPANY)

Pursuant to the provisions of §48-208-102(a) of the Tennessee Limited Liability Company Act or §48249-110(a) of the Tennessee Revised Limited Liability Company Act, the undersigned Limited Liability Company hereby submits this application: 1. The name of the Limited Liability Company 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

Name of Limited Liability Company

Signer's Capacity

Signature

Name (typed or printed)
SS-4225 (Rev. 01/06) Filing Fee: $20 RDA 2458