Form 354 - Notice Of Change Of Registered Office Or Change Of Registered Agent printable pdf download

Form 354 - Notice Of Change Of Registered Office Or Change Of Registered Agent

W. Fox McKeithen

NOTICE OF CHANGE OF REGISTERED OFFICE

Secretary of State

AND/OR CHANGE OF REGISTERED AGENT

(R.S. 12:104 & 12:236)

Domestic Corporation

Return to:

Commercial Division

(Business or Non-Profit)

P. O. Box 94125

Enclose $20.00 filing fee

Baton Rouge, LA 70804-9125

Make remittance payable to

Phone (225) 925-4704

Secretary of State

Web Site:

Do Not Send Cash

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 one (1) officer or two (2) directors

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 AFFIDAVIT AND ACKNOWLEDGEMENT OF ACCEPTANCE

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

354 Rev. 1/01

(see instructions on back)

Form 354 - Notice Of Change Of Registered Office Or Change Of Registered Agent