Mail all forms and required payments to: Department of Consumer and Regulatory Affairs Corporations Division PO Box 92300 Washington, DC 20090 Phone: (202) 442 - 44 32 Corporate Online Services Information: Many corporate filings are available by using CorpOnline Service. Go to CorpOnline site at https://corp online .dcra.dc.gov , create the profile, access the online services main page and proceed. Online filers must pay by using the credit card. District of Columbia Government Corporations Division Statement of Change of Commercial Registered Agent Form RA - 5 Ver. 3 , April 2018 . 1 - name; 2 - address; 3 - type of entity, 4 - jurisdiction of formation ; If commercial registered agent is the domestic or foreign filing entity, then this form can only be filed after amendment to foreign registration statement or amendment to domestic formation statement has been filed. Change in information in commercial registered agent will also be reflected under all represented entit ies. ENTITY TYPE FILING F E E Commercial Registered Agent Refer to Corporate Fee Schedule posted online. Under the provisions of the Title 29 of D.C. Code (Business Organizations Act), the following commercial registered agent is in the process of updating its information to be reflected for a represented entity and for that purpose submits the statement below. 1.Name of the Current Commercial Registered Agent. 2.Address of the Current C ommercial Registered Agent. 3.Provide the changes to listing of commercial registered agent. If you sign this form you agree that anyone who makes a false statement can be punished by criminal penalties of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC 247 22 - 2405; 4.Name of the Governor or Authorized Person. 4A . Signature of the Governor or Authorized Person. American LegalNet, Inc. www.FormsWorkFlow.com