Fill and Sign the Statement of Change of Registered Agent Secretary of State Rigov Form

Consent: Effective January 1, 2010, a person designated as the registered agent of an entity must have consented, either in a written or el ectronic form, to serve as the regist ered agent of the entity. Although consent is required, a copy of the person’s written or electronic consent need not be submitted with the statement of change. The liabilities and penalties imposed by sections 4.007 and 4.008 of the BOC apply with respect to a false statement in a filing inst rument that names a person as the registered agent of an entity without that person’s consent. (BOC § 5.207) Form 401 1 Form 401—General Information (Change of Registered Agent/Office) The attached form is drafted to meet minimal statutory filing requirements pursuant to the relevant code provisions. This form and the information provided are not substitutes for the advice and services of an attorney and tax specialist. Commentary This form has been promulgated to comply with the provisions of the Texas Business Organizations Code (BOC) regarding changes to registered agent and office of entities filed with the secretary of state. A nonprofit corporation formed for a special purpose under a statute or code other than the BOC may be required to meet other filing requirements than thos e imposed by the BOC. This form may not comply with the requirements imposed under the specia l statute or code governing the special purpose corporation. Please refer to the statute or code governing the special purpose corporation for specific filing requirements. Section 5.202 of the BOC specifies the procedure to be followed when a Texas or foreign filing entity that is subject to the BOC desires to make changes to its registered office or registered agent. Since an entity may be terminated or its re gistration revoked for failure to main tain a registered office and agent, any change should be submitted promptly. Changes to registered office and agent may also be included as part of a certificate of amendment or restated certificate, as an amendment in a plan of merger, and in the certificate of formation for a converted entity. Us e this form if the only changes to be made to the certificate of formation or registration are to the registered office or agent or both. Consent : Effective January 1, 2010, a person designated as the registered agent of an entity must have consented, either in a written or el ectronic form, to serve as the regist ered agent of the entity. Although consent is required, a copy of the person’s written or electronic consent need not be submitted with the statement of change. The liabilities and penalties imposed by sections 4.007 and 4.008 of the BOC apply with respect to a false statement in a filing inst rument that names a person as the registered agent of an entity without that person’s consent. (BOC § 5.207) Office Address Requirements: The registered office address must be located at a street address where service of process may be personally served on the entity’s registered agent during normal business hours. Although the registered office is not required to be the entity’s principal place of business, the registered office may not be solely a mailbox serv ice or telephone answering service (BOC § 5.201). Unincorporated nonprofit associations, Texas financial institutions, or defense base development authorities should use form 707 rather than this fo rm to change the statement of appointed agent. Instructions for Form  Items 1-3: Entity Information: The statement of change must contain the legal name of the entity. In addition, the name of the entity’s current registered agent and current registered office address must be provided. It is recommended that the file number assigned by the secretary of state be provided to facilitate pro cessing of the document.  Item 4: Changes to Registered Office and/or Registered Agent. Complete item 4 to effect a change to the registered agent or re gistered office address. The registered agent can be either (option Form 401 2 A) a domestic entity or a foreign entity that is registered to do bus iness in Texas or (option B) an individual resident of the state. The filing entity cannot act as its own registered agent. If the registered office is changed, complete secti on C. The registered office must be located at a street address where service of process may be pe rsonally served on the entity’s registered agent during normal business hours. Although the registered office address is not required to be the entity’s principal place of busine ss, the registered office may not be solely a mailbox service or a telephone answering se rvice (BOC § 5.201). The statement of change must recite that the street address of the registered office is the same as the registered agent’s business address.  Statement of Approval: As required by section 5.202(b)(6) of the BOC, the form includes a recitation that the change specified in the statemen t is authorized by the entity. While the statement of change has the effect of amending the entity’s certificate of formation or registration, the BOC does not provide that the procedures to amend the cer tificate of formation are applicable. In general, the statement of change should be adopted and approved by the governing persons or by a person authorized to act on behalf of the entity.  Effectiveness of Filing: A statement of change becomes effective when filed by the secretary of state (option A). However, pursu ant to sections 4.052 and 4.053 of the BOC the effectiveness of the instrument may be delayed to a date not more than ninety (90) days from the date the instrument is signed (option B). The effectivenes s of the instrument also may be delayed on the occurrence of a future event or fact, other than th e passage of time (option C). If option C is selected, you must state the manner in which the event or fact will cause the instrument to take effect and the date of the 90 th day after the date the instrument is signed. In order for the instrument to take effect under option C, the entity must, within ninety (90) days of the filing of the inst rument, file a statement with the secretary of state regarding the event or fact pursuant to section 4.055 of the BOC. On the filing of a document with a delayed effective date or condition, the computer records of the secretary of state will be changed to show the filing of the document, the date of the filing, and the future date on which the document will be effective or evidence that the effectiveness was conditioned on the occurrence of a future event or fact. On acceptance of the statement of change by the secret ary of state, the statement is effective as an amendment to the appropriate provision of the entity ’s certificate of formation or the foreign filing entity’s registration.  Execution: Pursuant to section 4.001 of the BOC, the st atement of change must be signed by a person authorized by the BOC to act on behalf of the entity in regard to the filing instrument. Generally, a governing person or managerial offi cial of the entity signs a filing instrument. The statement of change need not be notarized. However, before signing, please read the statements on this form carefully. The design ation or appointment of a person as the registered agent by a managerial official is an affirmation by that official that the person named in the instrument has consented to serve as registered agent. (BOC § 5.2011, effective January 1, 2010) A person commits an offense under sec tion 4.008 of the BOC if the person signs or directs the filing of a filing instrument the person knows is materially false with the intent that the instrument be Form 401 3 delivered to the secretary of state for filing. The offense is a Class A misdemeanor unless the person’s intent is to harm or de fraud another, in which case the offense is a state jail felony.  Payment and Delivery Instructions : The filing fee for a change of registered office/agent is $15, unless the filing entity is a nonprof it corporation or a cooperative association. The filing fee for a nonprofit corporation or a cooperative association is $5. Fees may be paid by personal checks, money orders, LegalEase debit card s, or MasterCard, Visa, and Discover credit cards. Checks or money orders must be payable through a U.S. bank or financial institution and made payable to the secretary of state. Fees paid by credit card are s ubject to a statutorily authorized convenience fee of 2.7 percent of th e total fees. Submit the completed form in duplicate along with th e filing fee. The form may be mailed to P.O. Box 13697, Austin, Texas 78711-3697; faxed to (512) 463-5709; or delivered to the James Earl Rudder Office Building, 1019 Brazos, Austin, Texas 78701. If a document is transmitted by fax, credit card information must accompany the tran smission (Form 807). On filing the document, the secretary of state will return the appropriate evidence of filing to the submitter together with a file- stamped copy of the document, if a duplicate copy was provided as instructed. Revised 12/09 This space reserved for office use. Form 401 (Revised 12/09) Submit in duplicate to: Secretary of State P.O. Box 13697 Austin, TX 78711-3697 Statement of Change of Registered Office/Agent 512 463-5555 FAX: 512/463-5709 Filing Fee: See instructions Entity Information 1. The name of the entity is: State the name of the entity as currently shown in the records of the secretary of state. 2. The file number issued to the filing entity by the secret ary of state is: 3. The name of the registered ag ent as currently shown on the record s of the secretary of state is: Registered Agent Name The address of the registered office as currently shown on the records of the secretary of state is: Street Address City State TX Zip Code Change to Registered Agent/Registered Office 4. The certificate of formation or registration is modified to change the registered agent and/or office of the filing entity as follows: Registered Agent Change (Complete either A or B, but not both. Also complete C if the address has changed.) A. The new registered agent is an organization (cannot be entity named above) by the name of: OR B. The new registered agent is an indi vidual resident of the state whose name is: First Name M.I. Last Name Suffix Registered Office Change C. The business address of the registered agent and the registered office address is changed to: Street Address (No P.O. Box) City State TX Zip Code The street address of the registered office as stated in this instrument is the same as the registered agent’s business address. Form 401 4 Form 401 5 Statement of Approval The change specified in this statement has been authorized by the entity in the manner required by the BOC or in the manner required by the law gove rning the filing entity, as applicable. Effectiveness of Filing (Select either A, B, or C.) A. This document becomes effective when the do cument is filed by the secretary of state. B. This document becomes effective at a later date, which is not more than ninety (90) days from the date of signing. The delayed effective date is: C. This document takes effect upon the occurrence of a future event or fact, other than the th passage of time. The 90 day after the date of signing is: The following event or fact will cause the documen t to take effect in the manner described below: Execution The undersigned affirms that the person designate d as registered agent has consented to the appointment. The undersigned signs this document subject to the penalties imposed by law for the submission of a materially false or fraudulent instrument and certifies under penalty of perjury that the undersigned is authorized to execute the filing instrument. Date: Signature of authorized person Printed or typed name of authorized person (see instructions)