Domestic Change Of Registered Agent And Or Office Domestic Corp

FILING FEE: $30.00 Revised Neb. Rev. Stat. 24421-234 DOMESTIC CHANGE OF REGISTERED AGENT and/or OFFICE , Secretary of State P.O. Box 94608 Lincoln, NE 68509 The following corporation, pursuant to the laws of the state of Nebraska, does hereby wish to change its Registered Agent and/or Registered Office. Name of Corporation Previous: Registered Agent: Registered Office: NE Street Address and Post Office Box (if any) City Zip New: Registered Agent: Registered Office*: NE Street Address and Post Office Box (if any) City Zip *The street address of the registered office and the street address of the registered agent must beidentical.DATED Signature Printed Name/Title NOTE: Every filing must be signed by the chairperson of the board of directors, the president, or one of the officers of the corporation. If the corporation has not yet been formed or directors have not yet been selected, the filing shall be signed by an incorporator. If the corporation is in the hands of a receiver, trustee, or other court appointed fiduciary, the filing shall be signed by that fiduciary. Signing a false document which is filed or attempted to be filed with the Secretary of State is a Class I Misdemeanor, subject to up to one year imprisonment or a $1000 fine, or both. Registered Agent: Please check A (current agent) or B (new agent) below and sign A. I hereby state that the above named corporation has been notified of the change in address of my registered office. B. I hereby consent to act as registered agent for the above named corporation. Signature of Registered Agent American LegalNet, Inc. www.FormsWorkFlow.com