Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Loading PDF...
Tags:
Mailing Address - Corporation Division, NH Dept. of State, 107 N Main St, Rm 204, Concord, NH 03301-4989 Physical Location - State House Annex, 3rd Floor, Rm 317, 25 Capitol St, Concord, NH Form 10 Instruct State of New Hampshire American LegalNet, Inc. www.FormsWorkFlow.com DISCLAIMER: All documents filed with the Corporation Division become public records and will be available for public inspection in either tangible or electronic form. Mailing Address - Corporation Division, NH Dept. of State, 107 N Main St, Rm 204, Concord, NH 03301-4989 Physical Location - State House Annex, 3rd Floor, Rm 317, 25 Capitol St, Concord, NH Form 10 (8/2018) State of New Hampshire Filing fee: $15.00 (Filing fee waived if submitted on the Annual Report, filing period January 1st through April 1st.*) Use black print or type. Form 10 RSA 293-A:5.02(a), RSA 293-A:15.08(a), RSA 304-C:36 II, RSA 304-C:177 V, RSA 304-A:49 II, RSA 564-F:5-501, or RSA 564-F:21-2107 STATEMENT OF CHANGE OF REGISTERED OFFICE OR REGISTERED AGENT, OR BOTH PURSUANT TO THE PROVISIONS of the New Hampshire Revised Statutes Annotated, the undersigned business, organized under the laws of submits the following statement for the purpose of changing the registered office or the registered agent, or both, in the state of New Hampshire. If submitted by the Registered Agent, the listed business has been notified in writing of the change in registered office. FIRST: The name of the business is: . SECOND: The name of its registered agent is recorded as: . THIRD: The address of its registered office is recorded as: . (no. & street) (city/town) (state) (zip code) FOURTH: The name of its new registered agent (if applicable) is (Note 1): . FIFTH: The address of its new registered office is (Note 1): . (no. & street) (city/town) (state) (zip code) SIXTH: The street address, town/city of its registered office and the address of the business office of its registered agent, as changed, will be identical. SEVENTH: Pursuant to the provisions of RSA 293-A:5.02(a), RSA 293-A:15.08(a), RSA 304-C:36 II, RSA 304-C:177 V, RSA 304-A:49 II, RSA 564-F:5-501, or RSA 564-F:21-2107, this document must be executed by an officer or director, a manager or member, a partner, founder or agent. (Signature) (Print or type name) (Title) Date signed: American LegalNet, Inc. www.FormsWorkFlow.com