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 REGISTERED AGENT NOTICE OF RESIGNATION All Entity Types AS 10.06.170, 10.15.030, 10.20.041, 10.25.490, 10.45.240, 10.50.063 Filing Fee: $25.00 (non-refundable) INSTRUCTIONS (Please retain for your records) Pursuant to Alaska Statutes 10.06.170, 10.15.030, 10.20.041, 10.25.490, 10.45.240, or 10.50.063 the registered agent may, at any time, resign as registered agent for any entity by submitting to this office a notice of resignation. ITEM 1: Provide the name of the entity currently on record and the Alaska Entity Number. ITEM 2: Provide the latest physical and mailing address of the entity. ITEM 3: Provide the names, addresses, and titles of the most recent officials. ITEM 4: Provide registered agent signature, printed name, and, if the registered agent is a corporation, the name of the corporation. NOTE: By signing this document, the agent acknowledges that the effective date of the resignation is thirty (30) days after the receipt of this notice, unless the entity appoints a successor agent within those thirty days. Mail the Notice of Resignation and the 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. 08-410 (Rev. 02/01/2012) Statement 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.state.ak.us/occ DO NOT STAMP ABOVE THIS BOX CORP Office Use Only REGISTERED AGENT NOTICE OF RESIGNATION All Entity Types AS 10.06.170, 10.15.030, 10.20.041, 10.25.490, 10.45.240, 10.50.063 $25.00 Filing Fee (non-refundable) Pursuant to Alaska Statutes 10.06.170, 10.15.030, 10.20.041, 10.25.490, 10.45.240, or 10.50.063, I hereby give my notice of resignation as registered agent for: ITEM 1: Name of the Entity: Alaska Entity #: ITEM 2: The latest address of the entity’s principal office known to me is: Physical address: Mailing address: ITEM 3: The names, addresses, and titles of the most recent officials known to me are: Title Name Mailing address City State ZIP code Attach an additional sheet if necessary. ITEM 4: I understand that the effective date of the resignation is thirty (30) days after the receipt of this notice unless the entity appoints a successor agent within those thirty days. Signature of Registered Agent Printed Name Name of corp. signatory represents Date Mail the Notice of Resignation and the 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. 08-410 (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