NOTICE OF CHANGE OF REGISTERED OFFICE
Jay Dardenne
AND/OR CHANGE OF REGISTERED AGENT
Secretary of State
(R.S. 12:104 & 12:236)
Enclose $25 filing fee
Return to: Commercial Division
Domestic Corporation (Business or Non Profit)
P. O. Box 94125
Make remittance payable to
Baton Rouge, LA 70804-9125
Secretary of State
Phone (225) 925-4704
Do Not Send Cash
Web Site:
Corporation Name:
CHANGE OF LOCATION OF REGISTERED OFFICE
Notice is hereby given that the Board of Directors of the above named corporation has authorized a change in the
location of the corporation’s registered office. The new registered office is located at:
To be signed by an officer or a director
Date
CHANGE OF REGISTERED AGENT(S)
Notice is hereby given that the Board of Directors of the above named corporation has authorized the change of
the corporation’s registered agent(s). The name(s) and address(es) of the new registered agent(s) is/are as
follows:
President, Vice President or Secretary
Date
AGENT’S ACCEPTANCE AND ACKNOWLEDGEMENT OF APPOINTMENT
I hereby acknowledge and accept the appointment of registered agent(s) for and on behalf of the above named
corporation.
Sworn to and subscribed before me, the undersigned Notary Public, on this date:
NOTARY NAME MUST BE TYPED OR PRINTED WITH NOTARY #
Notary Signature
SS354 Rev. 10/06
(See instructions on back)