Free $25.00 - Alaska

Department of Commerce, Community, and Economic Development Corporations, Business, and Professional Licensing Corporations Section PO Box 110808 Juneau AK 99811-0808

STATEMENT OF CHANGE
Registered Agent or Registered Agent Address
Pursuant to Alaska Statutes the undersigned entity submits the following statement for the purpose of changing its registered agent or the registered agent address in the State of Alaska. 1. Name of Entity: Alaska Entity #:

The registered agent must be an individual resident of Alaska or a corporation in good standing authorized to transact business in Alaska. A corporation my not act as its own agent. The registered agent address must be in Alaska. 2. Prior Registered Agent Information: Name: Mailing Address: Physical Address if Mailing Address is a Post Office Box: 3. New Registered Agent Information: Name: Mailing Address: City: State: AK Zip Code: City: State: AK Zip Code:

Physical Address if Mailing Address is a Post Office Box: Check this box if this is also the principal office address for the entity shown above. 4. Authorization: Date this change was authorized: Resolution of the board of directors (Corporation) A member or manager (Limited Liability Company) General Partner (Limited Partnership or Limited Liability Partnership) The president or vice president of the corporation, a member, manager or Attorney in fact of a limited liability company, or a general partner of a limited partnership or limited liability partnership must sign this statement. Signature of Authorized Person Title Date This change was authorized by (check appropriate box)

If you have specific legal questions or concerns about this filing, you are strongly advised to consult an attorney or other professional to assist you. Mail the completed filing and the $25.00 fee (in U.S. dollars) to: State of Alaska Corporations Section PO Box 110808 Juneau, AK 99811 For additional information or forms please visit our web site at: www.corporations.alaska.gov

08-615 (Rev. 11/08)