Fill and Sign the 20 Fee Limited Liability Company Form

New M exico Secretary of S tate Business Service s Division 325 Don Gaspar, S uite 300 · Santa Fe, NM 87501 (800) 477-3632 · www.sos.state.nm.us SUBMIT ORIGINAL TYPE OR PRINT LEGIBLY By: Signature of Authorized Officer (Corporation or Foreign Business Trust) Signa t ure of Member/Manager (LLC) Fo rm COA (revised 9/18) STATEMENT OF CHANGE OF REGISTERED OFFICE OR REGISTERED AGENT ARTICLE FOUR: If these Articles of Amendment are not to be effective upon filing, the effective date i is: (if an effective date is specified here, it cannot be a date prior to the date the articles are received by the Secretary of State) Pursuant to the provisions of the New Mexico Limited Liability Company Act, Nonprofit Corporation Act, Profit Corporation Act and Foreign Business Trust Administration Act the undersigned entity submits the following statement for the purpose of changing its registered office or registered agent or both in the state of New Mexico: T he e ntity 's name and business ID# are : The current registered a gent's name and address are (Include the city, state and zip code. Must match what is currently on file) : The successor registered agent's name and address are (Include the city , state and zip code . The entity CANNOT act as its own registered agent ): If different from the successor registered agent's address, the principal place of business address in NM is (Include the city, state and zip code) : The entity's mailing address is (Can be anywhere. Include the city, state and zip code) : (Foreign Entities only ) The o ffice address in the entity's domestic state is (Include the city, state and zip code) : The principal office address in the entity's domestic state , or anywhere is (Include the city, state and zip code) : I declare that I have examined this Statement, including accompanying statements, and to the best of my knowledge and belief, it is true and complete. Printed Name and Title$25 FEE-PROFIT, FOREIGN BUSINESS TRUST $20 FEE-LIMITED LIABILITY COMPANY $10 FEE-NONPROFIT Dated: New M exico Secretary of S t at e B u si n ess Service s Division 325 Don Gaspar, S uite 300 · Santa Fe, NM 87501 (800) 477-3632 · w w w.sos.state.nm.us STATEMENT OF ACCEPTANCE OF APPOINTMENT BY DESIGNATED SUCCESSOR REGISTERED AGENT (Authorized Person's Title)Box 2-Entity as Registered Agent. (The entity CANNOT act as its own registered agent). I, (Authorized Person's Printed Name ) (Registered Agent's Signature)Complete Box 1 if the registered a gent is an individual. Compl ete Box 2 if the registered a gent is a c orporation, limited liability company or partnership. Only complete the applicable box. Box 1-Individual as Registered Agent I, (Registere d Agent's Printed Name) hereby acknowledge that the undersigned individual accepts the appointment of registered agent of (Entity's Name) the entity whi ch is named in the annexed statement. By of (Registered Agent's/Business' Name) hereby acknowledge that the undersigned individual accepts the appointment of registered agent of (Entity 's Name) the entity which is named in the annexed statement. By (Registered Agent's Signature) Please check to indicate how the documents are to be delivered WILL PICKUP MAIL TO ADDRESS ABOVE New M exico Secretary of State Business Services Division 325 Don Gaspar, Suite 300 · Santa Fe, N M 87501 (800) 477-3632 · www.sos.state.nm.us DOCUMENT DELIVERY INSTRUCTIONS (You MUST have one Document Delivery Instruction form for each filing being submitted) IF YOU HAVE SELECTED TO PICK UP YOUR DOCUMENTS, OUR OFFICE WILL CONTACT YOU WHEN YOUR DOCUMENTS ARE COMPLETED AND READY FOR PICK UP. DOCUMENTS WILL NOT BE HELD FOR MORE THAN 5 BUSINESS DAYS. IF YOU HAVE NOT PICKED THEM UP WITHIN THAT TIME FRAME, THEY WILL BE MAILED TO THE ADDRESS LIST ED ABOVE. PLEASE CONTA CT OUR OFFICE AT 800- 477-3632 AND NOTIFY US IF YOU ARE NOT ABLE TO PICK UP WITHIN THAT TIME FRAME . --Thank You DOCUMENTS MUST BE TYPED OR PRINTED LEGIBLY SOS-DD I (revised 6/18) Entity Name on filing: Mail to (Business or Personal N ame): Attention (if applicable): Document Mailing Address: City: State: Zip Code : Contact Name: Contact Email: Contact Phone Number:Please complete the information below if different from above.