Instructions for completing Form CD 900 (Amended Annual Registration) Important Please Read. A corporation that has already filed an annual registration in the current calendar year may file an amended annual registration to update one or more of the following information on record with the Secretary of State: registered agents address; registered agents name; (s) names and respective addresses. Form CD 900 may be used for this purpose. Use of this form is optional. An amended annual registration may also be drafted pursuant to the relevant Georgia Code section (i.e. O.C.G.A. 247247 14-2-502, 14-2-1508, 14-3-502, or 14-3-1508). Form CD 900 is not intended to replace competent legal counsel. Secretary of State staff is not authorized to provide legal counsel or explain the steps necessary to successfully file an amended annual registration or to complete this form. Filers may wish to seek competent legal counsel in this matter. Note: An annual registration must have already been filed for the entity in the current calendar year prior to the filing of an amended annual registration in the same calendar year. If an annual registration has not been filed in the current calendar year, then a submitted amended annual registration will be rejected and the filer will be directed to file an annual registration. Sections #1 3: Provide the information (i.e. name, control number, and entity type), and its current registered agent address. This information should be consistent with the information currently on record with the Secretary of State. Sections #4 7: Use these sections of the form to make changes to the registered agents address, registered agents name, principal office address, and/or officer(s) names and addresses. Complete only those section(s) for which you are making changes or updates. If no changes are being made in a particular section, then leave that section blank. Section #9: The amended annual registration must be signed by an authorized person. The signer must state the capacity in which he or she is signing. Print the name of the signer. Please mail or deliver the completed form along with a $20.00 filing fee payable to : Corporations Division 2 Martin Luther King Jr. Dr. SE Suite 313 West Tower Atlanta, Georgia 30334. American LegalNet, Inc. www.FormsWorkFlow.com Secretary of State OFFICE OF SECRETARY OF STATE CORPOR A TIONS DIVISION 2 Martin Luther King Jr. Dr. SE Suite 313 West Tower Atlanta, Georgia 30334 (404) 656 - 2817 AMENDED ANNUAL REGISTRATION FOR CORPORATION Note: In order to use this amended annual registration form, an annual registration must have already been filed for the corporation in this calendar year. Amended annual registration filing fee is $20.00. 1. Entity Information : Enti t y Name : Entity Control Number: Entity T y pe (ch e ck one only): Domestic Profit Corporation Foreign Profit Corporation Domestic Nonprofit Corporation Foreign Nonprofit Corporation Domestic Professional Corporation Foreign Professional Corporation 2. Name of current registered agent on file with the Secretary of State : 3. Current street address and county of registered agent on file with the Secretary of State : Address: City: C ounty: State: GA Zip Code : 4. If applicable, name of new registered agent: Email address of new registered agent: 5. If applicable, n ew street address and county of registered agent : Address: City: C ounty: State: GA Zip Code: 6. principal office: Address: City: State: Zip Code: 7. If applicable, the names and respective addresses of its officers are updated as follows: NAME ADDRESS CITY STATE ZIP CODE CEO CFO SEC 8. After the above change(s) are made, t he address of the entity's registered office and the business address of the registered agent will be identical. 9. I hereby certify, under penalty of law, that the above information is true and correct. Signa t ure of Authorized Person Date Print Name Title F orm CD 900 ( Rev. 10/2018 ) American LegalNet, Inc. www.FormsWorkFlow.com