NO FEE DO-3/DN-04/FN-06/”ALL” Rev.12/19
NOTICE OF CHANGE OF REGISTERED AGENT INFORMATION
(PLEASE TYPE OR PRINT CLEARLY IN INK)
Corporation-Profit
Corporation-Nonprofit
Limited Liability Company
MARK ENTITY TYPE
General Partnership
Limited Partnership
Limited Liability Partnership
Limited Liability Limited Partnership
Series LLC/Protected Series
Other________________________
Pursuant to the Laws of the State of Arkansas, the undersigned submits the following statement for the purpose of
changing its registered agent in the State of Arkansas. If this statement reflects a change in registered agent for any
entity or entities other than listed, this form must be accompanied by notice of such change to any and all applicable
entities.
1. Name of entity: _________________________________________________________________________________________
2. Is the entity: Domestic Foreign
3. Street address of registered agent for service of process changing from: ________________________________________
Street Address
________________________________________________________________________________________________________
Street Addres
s Line 2
City, State Zip
4. Street address for service of process, which registered agent is changing to:_____________________________________
Street Address
________________________________________________________________________________________________________
Street Addres
s Line 2
City, State Zip
5. Name of registered agent changing from: ____________________________________________________________
To: __________________________________________________________________________________________
I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class
C misdemeanor and is punishable by a fine up to $100.00 and /or imprisonment up to 30 days.
Executed this ____________________ day of ________________________, ___________________.
___________________________________________________
Signature and Title Authorized Officer
__________________________________________________
Authorized Officer
Arkansas Secretary of State
1401 W. Capitol, Suite 250,
501-682-3409 • www.sos.arkansas.gov
Little Rock, AR 72201
6. Filing date of Notice of Change of Registered Agent: _____________________________
John Thurston
Note: For Series LLCs only- Per Arkansas law, all Protected Series associated with the Series LLC named in section #1
will also have a change in the Registered Agent information.
