For Office Use Only Wyoming Secretary of State 2020 Carey Avenue, Suite 700 Cheyenne, WY 82002-0020 Ph. 307.777.7311 Fax 307.777.5339 Email: SOSRequest@wyo.gov AR Officer/Director Change 226 Revised October 2015 Amended Annual Report for Profit and Nonprofit Corporations Only This form can only be used if an Annual Report is currently on file. Name of Entity: ID#: (Example: 2000-000123456) To amend your annual report and reflect a change in officers and or directors, list the names and addresses of each individual below or attach a current list. Add OfficeName and Address President: Vice President: Secretary: Treasurer: Director: Director: Director: Delete OfficeName and Address President: Vice President: Secretary: Treasurer: Director: Director: Director: Signature: Date: Printed Name: Title: Email: Form may be submitted by: Fax 307.777.5339 Email: SOSRequest@wyo.gov Mail-in Refer to address at top of this form. American LegalNet, Inc. www.FormsWorkFlow.com