Fillable FORM NFP 105.10/105.20 (rev. Dec. 2003): STATEMENT OF (Illinois Secretary of State)

Fill Online, Printable, Fillable, Blank FORM NFP 105.10/105.20 (rev. Dec. 2003): STATEMENT OF (Illinois Secretary of State) Form

Use Fill to complete blank online ILLINOIS SECRETARY OF STATE (IL) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

FORM NFP 105.10/105.20 (rev. Dec. 2003): STATEMENT OF (Illinois Secretary of State)

On average this form takes 4 minutes to complete

The FORM NFP 105.10/105.20 (rev. Dec. 2003): STATEMENT OF (Illinois Secretary of State) form is 1 page long and contains:

  • 0 signatures
  • 0 check-boxes
  • 16 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Illinois Secretary of State

BROWSE ILLINOIS SECRETARY OF STATE (IL) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
FORM NFP 105.10/105.20 (rev. Dec. 2003)
STATEMENT OF CHANGE
OF REGISTERED AGENT AND/OR
REGISTERED OFFICE
General Not For Profit Corporation Act
Secretary of State
Department of Business Services
501 S. Second St., Rm. 350
Springfield, IL 62756
217-782-7808
www.ilsos.gov
Remit payment in the form of a
check or money order payable
to Secretary of State.
Submit in duplicate ___________________ File #_____________________________ Filing Fee: $5 Approved: _____________ _
1. Corporate name: _______________________________________________________________________________
2. State or country of incorporation: ___________________________________________________________________
3. Name and address of Registered Agent and registered office as they appear on the records of the Office of the
Secretary of State (before change):
Registered Agent: _______________________________________________________________________________
First Name Middle Name Last Name
Registered office: _______________________________________________________________________________
Number Street Suite # (P.O. Box alone is unacceptable)
Registered Office _______________________________________________________________________________
City ZIP County
4. Name and address of Registered Agent and registered office shall be (after all changes herein reported):
Registered Agent: _______________________________________________________________________________
First Name Middle Name Last Name
Registered office: _______________________________________________________________________________
Number Street Suite # (P.O. Box alone is unacceptable)
Registered Office _______________________________________________________________________________
City ZIP County
5. The address of the registered office and the address of the business office of the registered agent, as changed, will be identical.
6. The above change was authorized by: (“X” one box only)
a. q Resolution duly adopted by the board of directors. (See Note 4 on reverse.)
b. q Action of the registered agent. (See Note 5 on reverse.)
7. The undersigned under penalties of perjury, affirms that the facts stated herein are true and correct.
Dated: _______________________________ , _____
Month Day Year
______________________________________
Signature of Registered Agent of record or authorized officer
______________________________________
Name and title (type or print)
_______________________________________________________
If applicant is signing for a company or other entity, state name of company or entity.
Printed by authority of the State of Illinois. June 2021 — 1 — C 321.9
IL
IL
Reset
NOTES
1. The registered office may, but need not be the same as the principal office of the corporation; however, the registered
office and the office address of the registered agent must be the same.
2. The registered office must include a street or road address (P.O. Box alone is unacceptable).
3. A corporation cannot act as its own registered agent.
4. Any change of registered agent must be by resolution adopted by the board of directors. This statement must be signed
by a duly authorized officer.
5. The registered agent may report a change of the registered office of the corporation for which he/she is a registered
agent. When the agent reports such a change, this statement must be signed by the registered agent. If a corporation
is acting as the registered agent, a duly authorized officer of such corporation must sign this statement.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

FORM NFP 105.10105.20 (rev. Dec. 2003): STATEMENT OF (Illinois Secretary of State)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 25 October 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document