For Office Use Only
Corporate Filings 312 Rosa L. Parks Avenue 6th Floor, William R. Snodgrass Tower Nashville, TN 37243
CHANGE OF REGISTERED OFFICE BY AGENT (LIMITED LIABILITY COMPANY)
Pursuant to the provisions of §48-208-102(b) of the Tennessee Limited Liability Company Act or §48-249-110(b) of the Tennessee Revised Limited Liability Company Act, the undersigned agent hereby submits this application: 1. The name of the Limited Liability Company is:
2. The street address of its current registered office is: (include complete street address, city, state and zip below)
3. The name of the current registered agent is:
4. The street address of the new registered office. (include complete street address, city, state, zip and county below.)
5. After the change, the street addresses of the registered office and the business office of the
registered agent will be identical.
6. The Limited Liability Company has been notified of the change of address for the registered office.
Signature Date
Signature
Signer's Capacity
Name (typed or printed)
SS-4252 (Rev. 07/08)
Filing Fee: $20
RDA 2458