State of Alaska Division of Corporations, Business and Professional Licensing CORPORATIONS SECTION PO Box 110806 Juneau, AK 99811-0806 Phone: (907) 465-2550 Fax: (907) 465-2974 Website: www.commerce.alaska.gov/occ NOTICE OF CHANGE OF OFFICIALS Domestic Nonprofit Corporation AS 10.20.631 $25.00 Filing Fee (non-refundable) INSTRUCTIONS (Please retain for your records): NOTICE: The Notice of Change of Officials will not be filed if a biennial report is due or the signatures do not match what the Corporations Section has on record. Please verify that the biennial report has been filed. To verify this information please search for the entity by going to Search Corporations Database in the Corporations Section of our website at www.commerce.alaska.gov/occ. If there is a biennial report due, the report may be filed online by selecting Biennial Reports on the Corporations Section page. If the officers/directors have changed, but no biennial report is due, please submit a Notice of Change located in the Forms and Fees section. Please note that a biennial report is intended to be a document recording the state of the corporation’s officers and directors in the applicable year of filing. It may be necessary to file both a biennial report with that year’s officers and directors, and a Notice of Change with the current officers and directors. Verify current officers and directors information in the Corporations Database. Pursuant to Alaska Statutes 10.20.631, the entitysubmits the Notice of Change for the purpose of changing its officers or directors. ITEM 1: Provide the name of the entity currently on record and the Alaska Entity Number. ITEM 2: List the prior officer/director on record and the new (replacement) officer/director and their new (replacement) mailing address, etc. Attach another sheet if necessary. Note: Corporations must have a president, vice president, secretary, treasurer, and at least three directors. ITEM 3: The Notice of Change must be signed by the corporate president or vice president currently on record. Mail the Notice of Change of Officials to and non-refundable $25.00 filing fee in U.S. dollars to: State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806 STANDARD PROCESSING TIME for complete and correct applications submitted to this office is approximately 10-15 business days. All applications are reviewed in the date order they are received. 08-446 (Rev. 02/01/2012) Notice of Change Instructions American LegalNet, Inc. www.FormsWorkFlow.com State of Alaska Division of Corporations, Business and Professional Licensing CORPORATIONS SECTION PO Box 110806 Juneau, AK 99811-0806 Phone: (907) 465-2550 Fax: (907) 465-2974 Website: www.commerce.alaska.gov/occ DO NOT STAMP ABOVE THIS BOX CORP Office Use Only NOTICE OF CHANGE OF OFFICIALS Domestic Nonprofit Corporation AS 10.20.631 $25.00 Filing Fee (non-refundable) Pursuant to Alaska Statutes 10.20.631, the following will apply to the officers and directors on file with this office: ITEM 1: Name of the Entity: Alaska Entity #: ITEM 2: Prior and new information. Note: Corporations must have a president, vice president, secretary, treasurer, and at least three directors. Title Prior officer/director New (replacement) officer/director X if Director New (replacement) mailing address Attach an additional sheet if necessary. ITEM 3: The corporate president or vice president must sign the Notice of Change. Signature of President or Vice President Printed Name of President or Vice President Date NOTE: Persons who sign documents filed with the commissioner that are known to the person to be false in material respects are guilty of a class A misdemeanor. Mail the Notice of Change of Officials to non-refundable $25 filing fee to: State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806 STANDARD PROCESSING TIME for complete and correct applications submitted to this office is approximately 10-15 business days. All applications are reviewed in the date order they are received. 08-446 (Rev. 02/01/2012) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com State of Alaska Division of Corporations, Business and Professional Licensing CORPORATIONS SECTION PO Box 110806 Juneau, AK 99811-0806 Phone: (907) 465-2550 Fax: (907) 465-2974 Website: www.commerce.alaska.gov/occ DO NOT STAMP ABOVE THIS BOX Office Use Only CORP CONTACT INFORMATION SHEET Please return this document with your filing. This information will only be used to resolve questions with the filings attached. NOTE: this form will not be filed for record or appear online. Name of entity as it appears on filing: To resolve questions with this filing, contact: Name: Email: Phone: Mailing address: Return documents to: Name: Company: Mailing address: Attach this form to your filings. Send all documents to: State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806 STANDARD PROCESSING TIME for complete and correct applications submitted to this office is approximately 10-15 business days. All applications are reviewed in the date order they are received. 08-561 (Rev. 02/01/2012) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com