Free 50656.PDF - Indiana

NOTICE OF CHANGE OF PRINCIPAL OFFICE ADDRESS
S tate Fo rm 506 56 (R/1-0 3)

TODD ROKITA SECRETARY OF STATE CORPORATIONS DIVISION 302 W. Washington St., Rm. E018 Indianapolis, IN 46204 Telephone: (317) 232-6576 Indiana Code 23--1-1-1 et seq.

INSTRUCTIONS:

Use 8 1/2" x 11" white paper for attachments. Present original and one copy to address in upper right corner of this form. Please TYPE or PRINT. Please visit our office on the web at www.sos.in.gov.

NO FILING FEE

Name o f corpora tion or other entity

Da te of in co rporation / org anization / registration

Cu rrent p rincipal office address ( number and stre et, city, sta te, ZIP cod e)

Ne w prin cipa l o ffice add ress (numbe r an d street, city, state, ZIP code)

IN WITNESS WHEREOF, the undersigned executes this notice and verifies, subject to the penalties of perjury, that the statements contained herein are true, this ________________ day of ____________________________ , 20 _____ .

Sign atu re

Title