SECRETARY OF THE STATE OF CONNECTICUT MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. BOX 150470, HARTFORD, CT 06115-0470 DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 TRINITY STREET, HARTFORD, CT 06106 PHONE: 860-509-6003 WEBSITE: www.concord-sots.ct.gov CHANGE OF BUSINESS ADDRESS DOMESTIC OR FOREIGN - ALL ENTITIES USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY. FILING PARTY (CONFIRMATION WILL BE SENT TO THIS ADDRESS): NAME: ADDRESS: FILING FEE: $50 MAKE CHECKS PAYABLE TO "SECRETARY OF THE STATE" NO FEE IF ONLY CHANGING BUSINESS EMAIL ADDRESS CITY: STATE: ZIP: 1. NAME OF BUSINESS ENTITY - REQUIRED: (INCLUDE BUSINESS DESIGNATION I.E., L.L.C., LLC, INC, ETC. MUST MATCH OUR RECORD EXACTLY) 2. PRINCIPAL OFFICE ADDRESS OF BUSINESS: (P.O.BOX UNACCEPTABLE) ADDRESS: CITY: STATE: ZIP: 3. MAILING ADDRESS OF BUSINESS: ADDRESS: CITY: STATE: ZIP: 4. EMAIL ADDRESS OF BUSINESS: 5. EXECUTION - REQUIRED: (SUBJECT TO PENALTY OF FALSE STATEMENT) DATED THIS NAME OF SIGNATORY DAY OF CAPACITY/TITLE OF SIGNATORY , 20 SIGNATURE PAGE 1 OF 1 American LegalNet, Inc. www.FormsWorkFlow.com FORM ACM-1-1.0 Rev. 8/2016