4. Change of Agent for Service of Process:
New Agent Name and Address
The agent named here has given consent
________________________________________
to appointment as agent to accept service
of process on behalf of this company.
________________________________________
________________________________________
New Agent Signature: ________________________________________
5. Complete the Change of Officers of Other Persons in Authority:
Officer Type
New Officer Name
New Officer Address
(check one for each new officer)
a.
President (Corp. VA)
________________________________
_______________________________
Member/Manager (LLC)
General Partner (LP, LLP)
_______________________________
Trustee (Bus. Trust)
________________________________
Other ________________ ____
Remove (previous officer name, if any)
.
b.
Vice President (Corp. VA)
________________________________
_______________________________
Member/Manager (LLC)
General Partners (LP, LLP)
_______________________________
Trustee (Bus. Trust)
________________________________
Other_____________________
Remove (previous officer name, if any)
c.
Secretary (Corp. VA)
________________________________
_______________________________
Member/Manager (LLC)
Limited Partner (LP)
_______________________________
General Partner (LLP)
________________________________
Trustee (Bus. Trust)
Remove (previous officer name, if any)
Other _____________________
.
d.
Treasurer (Corp. VA)
________________________________
_______________________________
Member/Manager (LLC)
Limited Partner (LP)
_______________________________
General Partner (LLP)
________________________________
Trustee (Bus. Trust)
Remove (previous officer name, if any)
Other _____________________
.
.
e.
Director (Corp. VA)
________________________________
_______________________________
Member/Manager (LLC)
Limited Partner (LP)
_______________________________
General Partner
________________________________
Trustee (Bus. Trust)
Remove (previous officer name, if any)
Other _____________________
_____________________________________________ _______________________ _________________________________________
Name (please print)
Title
Signature
Form AAO
Office of the Secretary of State
Revised 10/09