Form 408 – Change by Registered Agent to Name or Address Unique IDRegistered Agent Change Form Instructions This form should be used if the Registered Agent needs to change its name or address. Filing Fees: The statement of change that lists a single entity is $15. If multiple entities are listed, the fee is the number of entities times the filing fee for the type of entity. Maximum Fees by Entity Type: For-profit corporations: $750 Limited liability companies: $750 Limited partnerships: $750 Professional corporations: $750 Professional associations: $750 Nonprofit corporations and cooperative associations: $250 Registered Agent InformationWhat is the name of the Registered Agent?(Required)List the name of the registered agent as it currently appears in the records of the secretary of state.Represented Entity InformationWhat is the name of the entity represented by the Registered Agent?(Required)Enter the legal name of the entity or entities represented by the registered agent.What is the entity’s filing number previously issued by the secretary of state?(Required)The filing number is the unique 10-digit number assigned by the secretary of state to each business organization, name registration, or name reservation filed with the secretary of state.What is the entity type?(Required)SelectFor-profit CorporationNonprofit CorporationCooperative AssociationLimited Liability CompanyProfessional CorporationProfessional AssociationLimited PartnershipLimited Liability PartnershipForeign filing entity IF not listed above.If Foreign filing entity not listed above – Specify the entity type.(Required)Does the current Registered Agent represent more than one entity?(Required)SelectYesNoPlease list the entity name, entity type and filing number for each additional entity.Entity Name (1)(Required)Entity Type (1)(Required)SelectFor-profit CorporationNonprofit CorporationCooperative AssociationLimited Liability CompanyProfessional CorporationProfessional AssociationLimited PartnershipLimited Liability PartnershipForeign filing entity IF not listed above.Filing Number (1)(Required)If Foreign filing entity not listed above – Specify the entity type. (1)(Required)Entity Name (2)(Required)Entity Type (2)(Required)SelectFor-profit CorporationNonprofit CorporationCooperative AssociationLimited Liability CompanyProfessional CorporationProfessional AssociationLimited PartnershipLimited Liability PartnershipForeign filing entity IF not listed above.Filing Number (2)(Required)If Foreign filing entity not listed above – Specify the entity type. (2)(Required)Entity Name (3)(Required)Entity Type (3)(Required)SelectFor-profit CorporationNonprofit CorporationCooperative AssociationLimited Liability CompanyProfessional CorporationProfessional AssociationLimited PartnershipLimited Liability PartnershipForeign filing entity IF not listed above.Filing Number (3)(Required)If Foreign filing entity not listed above – Specify the entity type. (2)(Required)Change of Address of Registered AgentThe registered agent filing this statement must give written notice of the change or changes to each entity listed on this statement at least 10 days before the statement was submitted for filing to the secretary of state.Are you changing the Registered Agent’s address?(Required)SelectYesNoIf yes – What is the Registered Agent’s current address?(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What is the new address for the Registered Agent?(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code The registered office must be located at a street address where service of process may be personally served on the entity’s registered agent during normal business hours. Although the registered office address is not required to be the entity’s principal place of business, the registered office may not be solely a mailbox service or a telephone answering service (BOC § 5.201).New Name of Registered AgentThe registered agent filing this statement must give written notice of the change or changes to each entity listed on this statement at least 10 days before the statement was submitted for filing to the secretary of state.Are you changing the name of the Registered Agent?(Required)SelectYesNoIf yes – What is the new name of the Registered Agent?(Required)It is not appropriate to file this form if a new or different person will serve as the agent. The use of this form is limited to the circumstances under which the same individual or organization continues to serve as the registered agent under a new name.Effectiveness of FilingThe registered agent filing this statement must give written notice of the change or changes to each entity listed on this statement at least 10 days before the statement was submitted for filing to the secretary of state.Please select one of the following choices for the effectiveness of this filing with the secretary of state.(Required) This document becomes effective when the document is filed by the secretary of state. This document becomes effective at a later date, which is not more than ninety (90) days from the date of signing. This document takes effect upon the occurrence of a future event or fact, other than the passage of time. The 90 day after the date of signing is _______ The delayed effective date is:(Required) MM slash DD slash YYYY The 90 day after the date of signing is:(Required) MM slash DD slash YYYY What is the event or fact that will cause the document to take effect?(Required) go back to registered agent delegation
