For Offi ce Use Only
CHANGE OF REGISTERED
OFFICE (BY AGENT)
Corporate Filings
312 Rosa L. Parks Avenue
6
th
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 Nonprofi t Corporation Act,
the undersigned agent hereby submits this application:
___________________________________________
1. The name of the corporation is:
_________________________________________________________.
2. The street address of its current registerd offi ce is: ______________________________________
.
___________________________________
3. The name of the current registered agent is:
_________________________________________________________.
4. The street address of the new registered offi ce, the zip code of such offi ce, and the county in
____________________________________________
which the offi ce is located is:
.
5. After the change, the street addresses of the registered offi ce and the business offi ce of the
registered agent will be identical.
6. The corporation has been notifi ed of the change of address for the registered offi ce.
Signature date
Signature
Signer’s Capacity
Name (typed or printed)
SS-4433 (Rev. 07/08)
RDA 1678