Fill and Sign the Csclcd 520 Rev Form

CSCL/CD-520 (Rev. 08/15)MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS CORPORATIONS, SECURITIES & COMMERCIAL LICENSING BUREAU Date Received (FOR BUREAU USE ONLY) This document is effective on the date filed, unless a subsequent effective date within 90 days after received date is stated in the document. EFFECTIVE DATE: Name Address City State ZIP Code Document will be returned to the name and address you enter above.If left blank, document will be returned to the registered office. CERTIFICATE OF CHANGE OF REGISTERED OFFICE AND/OR CHANGE OF RESIDENT AGE\ NT For use by Domestic and Foreign Corporations and Limited Liability Companies (Please read information and instructions on the last page) Pursuant to the provisions of Act 284, Pub lic Acts of 1972 (profit corporations), or Act 162, Public Acts of 1982 (nonprofit co rporations), or Act 23, Public Acts 1993 (limited liability companies), the under signed execute the following Certificate: 1. The name of the corporation or limited liability company is: 2. The identification number assigned by the Bureau is: 5. The above changes were authorized by resolution duly adopted by: 1. ALL CORPORATIONS: its Board of Directors or the resident agent if only the address of the registered office is changed, in which case a copy of this statement has been mailed to the corporation . 2. NONPROFIT CORPORATIONS ONLY: the incorporators, only if no board has been appointed. 3. LIMITED LIABILITY COMPANIES: an operating agreement, affirm ative vote of a majority of the members pursuant to section 502(1), managers pursuant to section 405, or the resident agent if only the address of the registered office is changed. SignatureType or Print Name and Title or Capacity Date Signed 6. The corporation or limited liability company further states that the address of its registered office and the address of it s resident agent as changed, are identical. c. The mailing address of the register ed office IF DIFFERENT THAN 4B is: , Michigan (Street Address or P.O. Box) (City)(ZIP Code) b. The address of its registered office is: , Michigan (Street Address) (City)(ZIP Code) a. The name of the resident agent is: 4. ENTER IN ITEM 4 THE INFORMATION AS IT SHOULD NOW APPEAR ON THE PUBLIC RECORD a. The name of the resident agent on file with the Bureau is: 3. b. The location of the registered office on file with the Bureau is: , Michigan (Street Address) (City)(ZIP Code) c. The mailing address of the above regist ered office on file with the Bureau is: , Michigan (Street Address or P.O. Box) (City)(ZIP Code) CSCL/CD-520 (Rev. 08/15) Preparer's Name Business T elephone Number ( ) Submit with check or money order by mail: Michigan Department of Licensing and Regulatory Affairs Corporations, Securiti es & Commercial Licensing Bureau Corporation s Division P.O. Box 30054 Lansing, MI 48909 To submit in person: 2501 Woodlake Circle Okemos, MI Telephone: (517) 241-6470 Fees may be paid by check, money order, VISA, Mastercard or Discover when delivered in person to our office. MICH-ELF (Michigan Electronic Filing System): First Time Users: Call (517) 241-6470, or visit our website at http://www.michigan.gov/corporations Customer with MICH-ELF Filer Acc ount: Send document to (517) 636-6437 IN FORMATION AND INSTRUCTIONS 1. This form may be used to draft your Change of Registered Office and/or Change of Resident Agent. A document required or pe rmitted to be filed under the act cannot be filed unless it c ontains the minimum information required by the act. The format provided contains only the minimal information required to make the document fileable and may not meet your needs. This is a legal document and agency staff cannot prov ide legal advice. 2. Submit one original of this document. Upon filing, the document will be added to the records of the Corporations, Securiti es & Commercial Licensing Bureau. The original will be returned to your register ed office address unless you enter a different address in the box o n the front of this document. Since this document will be maintai ned on electronic format, it is important that the filing be legible. Documents with poor black and white contrast, or otherwise illegible, will be rejected. 8. NONREFUNDABLE FEES : Make remittance payable to the State of Michigan. Include corporation name and identification number on check or money order..................................................................\ ............................................. ........................................................................\ ..................$5.00 LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities. 5. Item 3 - The address of the registered office and the name of the registered agent must be the same as are designated in the Articles of Incorporation, Articles of Organization, or subsequent change filed w ith the Bureau. 4. Item 2 - Enter the identification number previously assigned to the Bureau. If this number is unknown, leave it blank. 3. This Certificate to be used pursuant to section 242 of Ac t 284, P.A. of 1972, or Act 162, PA of 1982, by domestic and forei gn corporations, or pursuant to section 209 of Act 23, PA of 1993 by domestic and fo reign limited liability companies, for the purpose of changing their registered office or resident agent, or both. 6. Item 4 - A post office box may not be designated as the address of the registered office. 7. This Certificate must be signed by: The resident agent may sign if o nly the registered office is changed. CORPORATIONS: an authorized officer or agent. If the Board has not yet met, the document must be signed by the incorporator or a majority of incorporators. DOMESTIC LIMITED LIABILITY COMPANIES: A manager, if managed by one or more managers, a member if management remains in the members, or an authorized agent of the company. FOREIGN LIMITED LIABILITY COMPANIES: a person with authority to do so under the laws of the jurisdiction of its organization. Optional expedited service. Expedited review and filing, if fileable, is available for all documents for profit corporations, limited liability companies, limited partnerships and nonprofit corporations. The nonrefundable expedited service fee is in addition to the regular fees applicable to the specific document. Please complete a separate CSCL/CD-272 form for expedited service for each document submitted in person, by mail or MICH-ELF. 24-hour service - $50 for formation documents and applications for certificate of authority. 24-hour service - $100 for any document concerning an existing entity. Same day service Same day - $100 for formation documents and applications for certificate of authority. Same day - $200 for any document concerning an existing entity. Review completed on day of receipt. Document and request for same day e\ xpedited service must be received by 1 p.m. EST OR EDT. Two hour - $500 Review completed within two hours on day of receipt. Document and reque\ st for two hour expedited service must be received by 3 p.m. EST OR EDT. One hour - $1000 Review completed within one hour on day of receipt. Document and reques\ t for 1 hour expedited service must be received by 4 p.m. EST OR EDT. First time MICH-ELF user requesting expedited service must obtain a MICH-ELF filer number prior to submitting a document for expedited service. CSCL/CD-901. Changes to information on MICH-ELF user's account must be submitted before requesting expedited service. CSCL/CD-901. Documents submitted by mail are delivered to a remote location for receipts processing and are then forwarded to the Corporation s Division for review. Day of receipt for mailed expedited service requests is the day the Corporation s Division receives the request. Rev. 08/15