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Form Ss-4252 - Change Of Registered Office By Agent (Limited Liability Company) Form - Department Of State - Tennessee

For Ofﬁ ce Use Only

CHANGE OF REGISTERED OFFICE

BY AGENT

(LIMITED LIABILITY COMPANY)

Corporate Filings

312 Rosa L. Parks Avenue

Floor, William R. Snodgrass Tower

Nashville, TN 37243

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:

The name of the Limited Liability Company is

The street address of its current registered ofﬁ ce is:

(include complete street address, city, state and zip below)

The name of the current registered agent is:

The street address of the new registered ofﬁ ce.

(include complete street address, city, state, zip and county below.)

After the change, the street addresses of the registered ofﬁ ce and the business ofﬁ ce of the

registered agent will be identical.

The Limited Liability Company 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-4252 (Rev. 07/08)

Filing Fee: $20

RDA 2458

Form Ss-4252 - Change Of Registered Office By Agent (Limited Liability Company) Form - Department Of State - Tennessee