COMMERCIAL OR NONCOMMERCIAL REGISTERED AGENT RESIGNATION SECRETARY OF STATE SFN 59240 (06-2015) For Office Use Only ID Number: Filed: By: NO FILING FEE TYPE OR PRINT LEGIBLY SEE INSTRUCTIONS FOR FILING AND MAILING INFORMATION For reference, see North Dakota Century Code, Chapter 10-01.1. 1. Name of organization (cooperative association, corporation, limited liability company, limited liability partnership, limited partnership, limited liability limited partnership, or real estate investment trust) from which the commercial or noncommercial registered agent is resigning 2. Name of commercial or noncommercial registered agent submitting the resignation statement 3A. Name of person (organization) to whom the resigning registered agent will send notice when the resignation is filed with the Secretary of State 3B. Address of the person (organization) to whom the resigning agent will send notice when the resignation is filed by the Secretary of State 4. As provided by N.D.C.C., Section 10-01.1-11, I certify that: "I, the commercial or noncommercial registered agent, or the person authorized to sign on behalf of the commercial or noncommercial registered agent, hereby resign as the commercial or noncommercial registered agent for the organization named in number 1; My resignation becomes effective on the earlier of the thirty-first day after the date on which this resignation is filed with the Secretary of State or upon appointment of a new commercial or noncommercial registered agent by the organization name in number 1; I will furnish notice of the resignation to the organization named in number 1 specifying the date when the resignation was filed with the Secretary of State; The Secretary of State is authorized to correct numbers 1 and 2 if not correctly reflected; and I understand that if I make a false statement in this document, I may be subject to criminal penalties." Signature 5. Name of person to contact about this document Title Email Address Date Daytime Telephone Number American LegalNet, Inc. www.FormsWorkFlow.com SFN 59240 (06-2015) Page 2 of 2 INSTRUCTIONS FOR COMMERCIAL OR NONCOMMERCIAL REGISTERED AGENT RESIGNATION A commercial or noncommercial registered agent may resign at any time whether or not the entity is in good standing but not after the legal existence of the represented entity has ceased or, in the case of a foreign entity, after its authority has been withdrawn or revoked. Resignation may be accomplished by filing a resignation statement with the Secretary of State. The resigning agent must notify the organization of their resignation and the date on which it was filed with the Secretary of State. The resignation becomes effective on the thirty-first day after the resignation is filed with the Secretary of State. When a statement of resignation takes effect, the registered agent ceases to have responsibility for any matter tendered to it as agent for the represented entity. A resignation does not affect any contractual rights the entity may have against the registered agent or that the registered agent may have against the entity. The following numbers correspond to the numbered sections on page 1 of this form: 1. This name must be exactly as currently registered with the North Dakota Secretary of State. If the name in number 1 is not the same as currently reflected on the organization record on file with the Secretary of State, the name will be corrected by the Secretary of State. If the name in number 2 is not the same as registered by the commercial or noncommercial registered agent, the name will be corrected by the Secretary of State. Provide the name and address of the person (organization) to which the registered agent will send notice of the resignation. The resigning agent must date and sign the statement. List the name, email address, and daytime telephone number of a contact person if this office has any questions or needs additional information to file the document. The email address is not disclosed to the public; this information is privatized in accordance with N.D.C.C., Section 44-04-18.21. 2. 3. 4. 5. RESPONSIBILITY OF RESIGNING AGENT: The resigning commercial or noncommercial registered agent must send a notification of its resignation to the entity named in number 1. The notification must include the date on which the resignation was filed by the Secretary of State (not the date of submission of the resignation to the Secretary of State). ASSISTANCE: If assistance is required to complete this document, call 701-328-4284. FAX FILING: The resignation statement may be faxed to 701-328-0106. A faxed filing does not expedite the process of the document in the office of the Secretary of State. MAILING INSTRUCTIONS: Send the completed document to: Secretary of State State of North Dakota 600 E Boulevard Avenue, Dept 108 PO Box 5513 Bismarck ND 58506-5513 Telephone: 701-328-4284 Toll Free: 800-352-0867 (ext. 328-4284) Fax: 701-328-0106 Website: sos.nd.gov American LegalNet, Inc. www.FormsWorkFlow.com