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STATEMENT OF CHANGE OF REGISTERED AGENT AND/OR
REGISTERED OFFICE FOR ALIEN BUSINESS ORGANIZATION
PURSUANT TO SECTION 607.0505, FLORIDA STATUTES, THE UNDERSIGNED ALIEN
BUSINESS ORGANIZATION SUBMITS THE FOLLOWING STATEMENT IN ORDER TO
CHANGE ITS REGISTERED OFFICE AND/OR REGISTERED AGENT:
1.
(Name of alien business organization)
2. 3. 4.
(Florida registration date) (Florida document number) (FEI Number, if applicable)
5.
(Principal office address)
6. Name and address of registered agent and office currently on record with this office:
7. New registered agent and/or office address:
(Note: Registered office must be a Florida street address)
8. The street address of the registered office and the street address of the business office of the
registered agent are identical.
9. Such change was authorized by the board of directors or an officer of the corporation so
authorized by the board of directors.
10.
(Signature of chairman, vice chairman, or officer)
11.
(Name and capacity of person signing in number 10 above)
12. Signature of new registered agent, if applicable:
I hereby accept the appointment as registered agent. I am familiar with and accept the
obligations of section 607.0505, Florida Statutes.
(Registered agent accepting appointment) (Date)
FILING FEE: $35.00
Make checks payable to Florida Department of State and mail to:
Division of Corporations P. O. Box 6327 - Tallahassee, FL 32314
INHS23 (08/05)
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