Fill and Sign the Statement of Change of Registered Office or Nh Sos Form

Mailing Address - Corporation Division, NH Dept. of State, 107 N Main St, Rm 204, Concord, NH 03301 -4989 Physical Location - State House Annex, 3rd Floor, Rm 317, 25 Capitol St, Concord, NH F orm 10 Instruct State of New Hampshire ST ATEMENT OF CHANGE OF REGISTERED OFFICE OR REGISTERED AGENT , OR BOTH I NSTRUCTIONS FOR COMPLETING FORM 10 R SA 293- A:5.0 2(a) Registered Office and Registered Agent . ( of a N .H. corporation) R SA 293- A:15.0 8(a) Registered Office and Registered Agent of F oreign Corporation. R SA 304 -C:36 II Limited Liability Company Registered Offices and Registered Agents. (of a N.H. LLC) R SA 304 -C:177 V Foreign Limited Liability Companies Registered Office; Registered Agent. (of a foreign LLC) R SA 304 -A:49 II Registered Office; Registered Agent. (of a Registered Limited Liability Partnership and Foreign Registered Limited Liability Partnership) F IRST : Name of the business as it is registered with the Secretary of State’s office. SEC OND : Name of the registered agent currently recorded with the Secretary of State’s office. T HIRD: Address of the registered agent currently recorded with the Secretary of State’s office. F OURTH: Name of the new registered agent. F IFTH : Address of the new registered agent. If a post office box is given, the physical location must also be given. N otes: 1.R efer to the RSA’s listed above for who may serve as agent. 2. *F iling fe e waived if submitted on the Annual Report, filing period January 1st through April 1 st. DISCLAIMER: All documents filed with the Corporation Division become public records and will be available for public inspection in either tangible or electronic form. Mailing Address - Corporation Division, NH Dept. of State, 107 N Main St, Rm 204, Concord, NH 03301-4989 Physical Location - State House Annex, 3rd Floor, Rm 317, 25 Capitol St, Concord, NH Form 10 (9/2015) State of New Hampshire Filing fee: $15.00 Form 10 (Filing fee waived if submitted on RSA 293-A:5.02(a), RSA 293-A:15.08(a), the Annual Report, filing period RSA 304-C:36 II, RSA 304-C:177 V, January 1 st through April 1 st.*) or RSA 304-A:49 II Use black print or type. STATEMENT OF CHANGE OF REGISTERED OFFICE OR REGISTERED AGENT, OR BOTH PURSUANT TO THE PROVISIONS of the New Hampshire Revised Statutes Annotated, the undersigned business, organized under the laws of submits the following statement for the purpose of changing the registered office or the registered agent, or both, in the state of New Hampshire. If submitted by the Registered Agent, the listed business has been notified in writing of the change in registered office. FIRST: The name of the business is: . SECOND: The name of its registered agent is recorded as: . THIRD: The address of its registered office is recorded as: . (no. & street) (city/town) (state) (zip code) FOURTH: The name of its new registered agent (if applicable) is (Note 1): . FIFTH: The address of its new registered office is (Note 1): . (no. & street) (city/town) (state) (zip code) SIXTH: The street address, town/city of its registered office and the address of the business office of its registered agent, as changed, will be identical. SEVENTH: Pursuant to the provisions of RSA 293-A:5.02(a), RSA 293-A:15.08(a), RSA 304-C:36 II, RSA 304-C:177 V or RSA 304-A:49 II, this document must be executed by an officer or director, a manager or member, a partner or agent. (Signature) (Print or type name) (Title) Date signed: