RLL 53-06 Instructions: i Change of Registered Office or Agent by a Limited Liability Company Contact: Kansas Office of the Secretary of State Memorial Hall, 1st Floor 120 S.W. 10th Avenue Topeka, KS 66612-1594 (785) 296-4564 kssos@sos.ks.gov www.sos.ks.gov 1. Submit this form with the $35 filing fee. 2. Any of the following may serve as a resident agent: a) an individual, b) a Kansas corporation, limited partnership, limited liability company or business trust, or c) a foreign corporation, limited partnership, limited liability company or business trust authorized to do business in Kansas. A foreign limited liability company may not be its own resident agent. 3. This filing only changes the resident agent and/or registered office. If you wish to change the mailing address (where our office will send official mail) please submit form MA, available at www.sos.ks.gov. STAY UP-TO-DATE ON YOUR ORGANIZATION’S STATUS, ANNUAL REPORT DUE DATE AND CONTACT ADDRESSES BY GOING TO WWW.SOS.KS.GOV. UNDER QUICK LINKS, SELECT SEARCH BUSINESS ENTITY INFORMATION. There is a $25 service fee for all checks returned by your financial institution. All information must be completed or this document will not be accepted for filing. NOTICE: Rev. 3/3/11 jdr Instructions Page 1 of 1 K.S.A . 17-7666 American LegalNet, Inc. www.FormsWorkFlow.com RLL 53-06 CONTACT: KANSAS SECRETARY OF STATE Change of Registered Office or Agent by a Limited Liability Company Kansas Office of the Secretary of State Memorial Hall, 1st Floor 120 S.W. 10th Avenue Topeka, KS 66612-1594 i (785) 296-4564 kssos@sos.ks.gov www.sos.ks.gov Above space is for office use only. All information must be completed or this document will not be accepted for filing. Please read instructions sheet before completing. INSTRUCTIONS: 1. Business entity ID number: This is not the Federal Employer ID Number (FEIN) _______________________________________ 2. Name of limited liability company: Name must match the name on record with the Secretary of State 3. State/Country of organization: ________________________________________________________________________________________ _______________________________________ 4. The new name of the resident agent and address of the registered ________________________________________________________________________________________ Name office in Kansas: Address must be a street address A P.O. box is unacceptable ________________________________________________________________________________________ Street Address Kansas ______________________________________________________________________________________ City 5. Effective date: A future effective date must be within 90 days of filing date State Zip Upon filing Future effective date ______________________________ Month Day Year 6. I declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct and that I have remitted the required fee. ________________________________________________________ Signature of authorized person ________________________________________________________ Name of signer (printed or typed) Rev. 3/3/11 jdr ________________________________________________________ Date (month, day, year) Page 1 of 1 K.S.A . 17-7666 American LegalNet, Inc. www.FormsWorkFlow.com