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Nonprofit Corporations Statement Of Change Of Principal Office N-12 - North Carolina

Nonprofit Corporations Statement Of Change Of Principal Office Form. This is a North Carolina form and can be used in Nonprofit Corporation Secretary Of State .
 Fillable pdf Last Modified 5/2/2007
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State of North Carolina Department of the Secretary of State NONPROFIT CORPORATIONS STATEMENT OF CHANGE OF PRINCIPAL OFFICE Pursuant to 55A-5-02.1(b) of the General Statutes of North Carolina, the undersigned nonprofit corporation does hereby submit thefollowing for the purpose of changing its principal office address currently on file with the Secretary of State. INFORMATION CURRENTLY ON FILE The name of the corporation is:________________________________________________________________________The street address and county of the principal office of the corporation currently on file is:Number and Street: _________________________________________________________________________________City, State, Zip Code: ___________________________________________________________County:______________The mailing address if different from the street address of the principal office currently on file is:_________________________________________________________________________________________________ NEW INFORMATION 1. The street address and county of the new principal office of the corporation is: Number and Street: ____________________________________________________________________________ City, State, Zip Code: _______________________________________________________County: ____________2. The mailing address if different from the street address of the new principal office is: ____________________________________________________________________________________________3. This statement will be effective upon filing, unless a later date and/or time is specified: _____________________This is the______day of_________________, 20_____. __________________________________________ Name of Corporation __________________________________________ Signature __________________________________________ Type or Print Name and TitleNOTES: 1. Filing fee is $5. This statement and one exact or conformed copy of it must be filed with the Secretary of State.Revised January 2000 Form N-12CORPORATIONS DIVISION P. O. BOX 29622 RALEIGH, NC 27626-0622<<<<<<<<<********>>>>>>>>>>>>> 2 Instructions for Filing NONPROFIT CORPORATIONS STATEMENT OF CHANGE OF PRINCIPAL OFFICEUnder Information Currently On File section, enter the name of the corporation and the address of the principal office as theycurrently appear on the records of the Secretary of State. Under New Information section: Item 1 Enter the complete street address and county of the new principal office of the corporation.Item 2 Enter the complete mailing address only if it is different from the street address shown in Item 1.Item 3 The document will be effective on the date and at the time of filing, unless a delayed date and/or time is specified. If a delayed effective date and time is specified, the document will be effective on that date and time. A delayed effective date may be specified up to and including the 90th day after the day of filing. If a delayed effective date is specified without a time, the document will be effective at 11:59:59 p.m.Date and Execution Enter the date the document was executed. In the blanks provided enter: The name of the corporation executing the statement. The signature of the representative of the corporation (may be a chairman or presiding officer of the board of directors or any officer of the corporation). The name and title of the above-signed representative.Revised January 2000 Form N-12CORPORATIONS DIVISION P. O. BOX 29622 RALEIGH, NC 27626-0622
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