State of Utah Non-Refundable Processing Fee: $12.00 DEPARTMENT OF COMMERCE Division of Corporations & Commercial Code Limited Liability Partnership Registration Information Change Form Entity File Number: _________________________ Entity Name: ___________________________________________________________________________________________ For each Yes button that you mark the question will appear below for you to fill out. 1). Do you want to Change the Business Purpose? Yes No 2). Do you want to Change the Registered Agent or the Address of the Registered Agent? Yes No 3). Do you want to Change the Principal Address of the Business Entity? Yes No 4). Do you want to Add individuals to the Business Entity? Yes No 5). Do you want to Remove individuals from the Business Entity? Yes No 6). Do you want to Change the Address of the Business Entity’s Principal(s)? Yes No Under GRAMA {63-2-201}, all registration information maintained by the Division is classified as public record. For confidentiality purposes, you may use the business entity physical address rather than the residential or private address of any individual affiliated with the entity. Under penalties of perjury and as an authorized authority, I declare that this statement of change(s), has been examined by me and is, to the best of my knowledge and belief, true, correct and complete. Name/Title: ___________________________________ Signature: _________________________________ Date: _____________________ 1). If Yes, what is the new Business Purpose? _______________________________________________________________________ 2). If Yes, who is the new Registered Agent, or the new Address of the Registered Agent? Name: ____________________________________________ Signature: _____________________________________________ Address: ________________________________________________ City ___________________ State ______ Zip __________ 3). If Yes, what is the new Principal Address? Address: ________________________________________________ City ___________________ State ______ Zip __________ 4). If Yes, who do you want to Add to the Business Entity and what Position will they hold? Name: ____________________________________________ Position: ___________________________________________ Address: ________________________________________________ City ___________________ State ______ Zip __________ Name: ____________________________________________ Position: ___________________________________________ Address: ________________________________________________ City ___________________ State ______ Zip __________ 5). If Yes, who do you want to Remove from the Business Entity and what Position do they hold? Name: _________________________________________ Position: ___________________________________________ Name: _________________________________________ Position: ___________________________________________ 6). If Yes, who is the Principal(s) whose Address you wish to Change? Name: ____________________________________________ Position: ___________________________________________ Address: ________________________________________________ City ___________________ State ______ Zip __________ Name: ____________________________________________ Position: ___________________________________________ Address: ________________________________________________ City ___________________ State ______ Zip __________ American LegalNet, Inc. www.FormsWorkflow.com