Uniform Limited Cooperative Association Registration Information Change Form - Utah Department Of Commerce

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Link to Uniform Limited Cooperative Association Registration Information Change Form Addendum

This form must be type written or computer generated.

State of Utah

Department of Commerce

Instructions

Clear Form

Print Form

Division of Corporations & Commercial Code

Uniform Limited Cooperative Association Registration Information Change Form

_________________________

Non-Refundable Processing Fee: $15.00

Entity File Number:

___________________________________________________________________________________________

Entity Name:

For each Yes button that you mark the question will appear below for you to fill out.

1). Do you want to Change the Business Purpose?

Yes

_______________________________________________________________

1). If Yes, what is the new Business Purpose?

2). Do you want to Change the Registered Agent or the Address of the Registered Agent?

Yes

2). If Yes, who is the new Registered Agent, or the new Address of the Registered Agent?

______________________________________________________________________________________________

What is a commercial registered agent?

The address must be listed if you have a non-commercial registered agent. See instructions for further details.

__________________________________________________________________

Address of the Registered Agent:

Utah Street Address Required, PO Boxes can be listed after the Street Address

City ___________________________________________________________________________ State UT

Zip __________

3). Do you want to Change the Principal Address of the Business Entity?

Yes

3). If Yes, what is the new Principal Address?

________________________________________________ City ___________________ State ______ Zip __________

Address:

4). Do you want to Add individuals to the Business Entity?

Yes

4). If Yes, who do you want to Add to the Business Entity and what Position will they hold?

Select/Type Position Here

Name: ____________________________________________

Position: ___________________________________________

________________________________________________ City ___________________ State ______ Zip __________

Address:

Select/Type Position Here

Name: ____________________________________________

Position: ___________________________________________

________________________________________________ City ___________________ State ______ Zip __________

Address:

5). Do you want to Remove individuals from the Business Entity?

Yes

5). If Yes, who do you want to Remove from the Business Entity and what Position do they hold?

Select/Type Position Here

Name: _________________________________________

Position: ___________________________________________

Select/Type Position Here

Name: _________________________________________

Position: ___________________________________________

6). Do you want to Change the Address of the Business Entity’s Principal(s)?

Yes

6). If Yes, who is the Principal(s) whose Address you wish to Change?

Select/Type Position Here

Name: ____________________________________________

Position: ___________________________________________

________________________________________________ City ___________________ State ______ Zip __________

Address:

Select/Type Position Here

Name: ____________________________________________

Position: ___________________________________________

________________________________________________ City ___________________ State ______ Zip __________

Address:

Optional Inclusion of Ownership Information: This information is not required.

Is this a female owned business?

Yes

Select/Type the race of the owner here

Is this a minority owned business?

Yes

If yes, please specify: _____________________________________

Under GRAMA {63-2-201}, all registration information maintained by the Division is classified as public record. For confidentiality purposes, you may use

the business entity physical address rather than the residential or private address of any individual affiliated with the entity.

Under penalties of perjury and as an authorized authority, I declare that this statement of change(s), has been examined by me and is, to the best of

my knowledge and belief, true, correct and complete.

Sign here after printing form

Name/Title: ___________________________________ Signature: _________________________________ Date: _____________________

Division's Website:

Mailing/Faxing Information: