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Registered Agent And-Or Registered Office Change 13 - Wisconsin
| Registered Agent And-Or Registered Office Change Form. This is a Wisconsin form and can be used in General Secretary Of State . |
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Ss. 178.43(4), 179.046, 180.0502, 180.1508, 181.0502, 181.1508, 183.0105(3) & 183.1008, Wis. Stats State of Wisconsin DEPARTMENT OF FINANCIAL INSTITUTIONS Division of Corporate & Consumer Services REGISTERED AGENT and/or REGISTERED OFFICE CHANGE 1. (name of the corporation, limited liability company, limited liability partnership or limited partnership, including its registered or fictitious name, if so licensed) 2. The corporation, limited liability company, limited liability partnership or limited partnership submitting this statement is organized under the laws of Wisconsin OR (name the foreign state or country) 3. A This statement is submitted for the purpose of changing the entity's REGISTERED AGENT in Wisconsin to be: New (or continuing) registered AGENT in Wisconsin: __________________________________________________________________ 3. B This statement is submitted for the purpose of changing the entity's REGISTERED OFFICE in Wisconsin to be: New registered OFFICE in Wisconsin: (complete street address of registered office) (City) , Wisconsin _______________________ (ZIP code) NO FILING FEE FILING FEE $10.00 4. The street address of the registered office and the business office of the registered agent, as changed or continued, are identical. 5. Executed on _______________________________ (Date) Select and mark (X) below the appropriate title of the person executing the document. For a corporation Title: President OR Secretary or other officer title ___________________________ For a limited liability partnership Title: Partner ______________________________________________ (Signature) ______________________________________________ (Printed name) For a limited liability company Title: Member OR Manager For a limited partnership Title: General Partner Change by registered agent Title: Registered Agent (continuing registered agent or registered agent in effect prior to any change of agent indicated above) The corporation, limited liability company, limited liability partnership or limited partnership has been notified of the change. DFI/CORP/13(R05/10) American LegalNet, Inc. www.FormsWorkFlow.com 1 REGISTERED AGENT and/or REGISTERED OFFICE CHANGE Enter your return address within the brackets below. Phone number during the day: ( ) ______ - ___________________ INSTRUCTIONS (Ref. Sec. 178.43(4), 179.046, 180.0502, 180.1508, 181.0502, 181.1508, 183.0105(3) & 183.1008(1), Wis. Stats., for document content) Submit one original and one exact copy along with the filing fee of $10.00 (if required) to the address listed below. (Note: If the same registered agent makes simultaneous delivery of more than 200 change statements, the filing fee is reduced to $1.00 for each statement in excess of 200.) Make checks payable to the "Department of Financial Institutions". Filing fee is non-refundable. Sign the document manually or as otherwise allowed under section 180.0103 (16) and similar sections of the Wis. Stats. Phone: 608-261-7577 Mailing Address: Physical Address for Express Mail: Department of Financial Institutions Department of Financial Institutions FAX: 608-267-6813 Division of Corporate & Consumer Services Division of Corporate & Consumer Services TTY: 608-266-8818 P O Box 7846 345 W. Washington Ave 3rd Fl. Madison WI 53707-7846 Madison WI 53703 NOTICE: This form may be used to accomplish a filing required or permitted by statute to be made with the department. Information requested may be used for secondary purposes. This document can be made available in alternate formats upon request to qualifying individuals with disabilities 1. Enter the name of the domestic or foreign corporation, limited liability company, limited liability partnership or limited partnership. If the entity holds its certificate of authority or registration with the department under a registered or fictitious name, also list the registered or fictitious name. 2. Indicate the state under whose laws the corporation, limited liability company, limited liability partnership or limited partnership is incorporated, organized or registered. 3. A Enter the name of the new (or continuing) registered agent in Wisconsin. (NO FILING FEE) The corporation, limited liability company, limited liability partnership or limited partnership may not name itself as its own registered agent. The registered agent may be any of the following: - A natural person who resides in Wisconsin and whose business office is identical to the registered office. - A domestic or licensed foreign corporation, nonstock corporation, limited liability partnership, limited partnership, or limited liability company, whose business office is identical to the registered office. 3. B Enter the complete street address of the registered office, city (in Wisconsin) and ZIP code. PO Box addresses may be included as part of the address (if located in the same community), but are not sufficient alone. (FILING FEE $10.00) (Note: If the registered office address is unchanged, do not complete this item.) 4. This statement must affirm that the designated registered agent maintains its business office at the street address cited as the entity's registered office. 5. The statement requires the signature of one person. If for a corporation, by an officer. If for a limited liability company, by a member or manager. If for a limited liability partnership, by a partner. If for a limited partnership, by a general partner. If by the registered agent, it must be signed by the registered agent in effect prior to any change of registered agent indicated on this form. The registered agent is obliged to notify the corporation, limited liability company, limited liability partnership or limited partnership of this change. If the entity is in the control of a court-appointed receiver, trustee or fiduciary, by the fiduciary. Enter the date of execution and the name and title of the signer. DFI/CORP/13(R05/10) American LegalNet, Inc. www.FormsWorkFlow.com 2
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