CSCL/CD-520 (Rev. 10/17)
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
CORPORATIONS, SECURITIES & COMMERCIAL LICENSING BUREAU
Date Received
(FOR BUREAU USE ONLY)
This document is effective on the date filed, unless a
subsequent effective date within 90 days after received
date is stated in the document.
EFFECTIVE DATE:
Name
Address
City State ZIP Code
Document will be returned to the name and address you enter above.
If left blank, document will be returned to the registered office.
CERTIFICATE OF CHANGE OF REGISTERED OFFICE AND/OR CHANGE OF RESIDENT AGENT
For use by Domestic and Foreign Corporations and Limited Liability Companies
(Please read information and instructions on the last page)
Pursuant to the provisions of Act 284, Public Acts of 1972 (profit corporations), or Act 162, Public Acts of 1982 (nonprofit corporations), or Act 23, Public Acts
1993 (limited liability companies), the undersigned execute the following Certificate:
1. The name of the corporation or limited liability company is:
2. The identification number assigned by the Bureau is:
5.
The above changes were authorized by resolution duly adopted by: 1. ALL CORPORATIONS: its Board of Directors or the resident agent if only the
address of the registered office is changed, in which case a copy of this statement has been mailed to the corporation. 2. NONPROFIT CORPORATIONS
ONLY: the incorporators, only if no board has been appointed. 3. LIMITED LIABILITY COMPANIES: an operating agreement, affirmative vote of a majority
of the members pursuant to section 502(1), managers pursuant to section 405, or the resident agent if only the address of the registered office is changed.
Signature Type or Print Name and Title or Capacity Date Signed
6. The corporation or limited liability company further states that the address of its registered office and the address of its resident agent as changed, are
identical.
c. The mailing address of the registered office IF DIFFERENT THAN 4B is:
, Michigan
(Street Address or P.O. Box) (City)
(ZIP Code)
b. The address of its registered office is:
, Michigan
(Street Address) (City)
(ZIP Code)
a. The name of the resident agent is:
4.
ENTER IN ITEM 4 THE INFORMATION AS IT SHOULD NOW APPEAR ON THE PUBLIC RECORD
a. The name of the resident agent on file with the Bureau is:
3.
b. The location of the registered office on file with the Bureau is:
, Michigan
(Street Address) (City)
(ZIP Code)
c. The mailing address of the above registered office on file with the Bureau is:
, Michigan
(Street Address or P.O. Box) (City)
(ZIP Code)
AC1
CSCL/CD-520 (Rev. 10/17)
Preparer's Name
Business Telephone Number (
)
Submit with check or money order by mail:
Michigan Department of Licensing and Regulatory Affairs
Corporations, Securities & Commercial Licensing Bureau
Corporation
s Division
P.O. Box 30054
Lansing, MI 48909
To submit in person:
2501 Woodlake Circle
Okemos, MI
Telephone: (517) 241-6470
Fees may be paid by check, money order, VISA,
MasterCard, or Discover when delivered in person to
our office.
COFS (Corporations Online Filings System):
This document may be completed and submitted online at www.michigan.gov/corpfileonline.
Fees may be paid by VISA, MasterCard, or Discover.
INFORMATION AND INSTRUCTIONS
1. This form may be used to draft your Change of Registered Office and/or Change of Resident Agent. A document required or permitted to be filed under
the act cannot be filed unless it contains the minimum information required by the act. The format provided contains only the minimal information
required to make the document fileable and may not meet your needs. This is a legal document and agency staff cannot provide legal advice.
2. Submit one original of this document. Upon filing, the document will be added to the records of the Corporations, Securities & Commercial Licensing
Bureau. The original will be returned to your registered office address unless you enter a different address in the box on the front of this document.
Since this document will be maintained on electronic format, it is important that the filing be legible. Documents with poor black and
white contrast, or otherwise illegible, will be rejected.
8. NONREFUNDABLE FEES: Make remittance payable to the State of Michigan. Include corporation name and identification number on check or
money order.........................................................................................................................................................................................................$5.00
LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals
with disabilities.
5. Item 3 - The address of the registered office and the name of the registered agent must be the same as are designated in the Articles of Incorporation,
Articles of Organization, or subsequent change filed wi
th the Bureau.
4. Item 2 - Enter the identification number previously assigned to the Bureau. If this number is unknown, leave it blank.
3. This Certificate to be used pursuant to section 242 of Act 284, P.A. of 1972, or Act 162, PA of 1982, by domestic and foreign corporations, or pursuant
to section 209 of Act 23, PA of 1993 by domestic and foreign limited liability companies, for the purpose of changing their registered office or resident
agent, or both.
6.
Item 4 - A post office box may not be designated as the address of the registered office.
7.
This Certificate must be signed by:
The resident agent may sign if only the registered office is changed.
CORPORATIONS: an authorized officer or agent. If the Board has not yet met, the document must be signed by the incorporator or a majority of
incorporators.
DOMESTIC LIMITED LIABILITY COMPANIES: A manager, if managed by one or more managers, a member if management remains in the members,
or an authorized agent of the company.
FOREIGN LIMITED LIABILITY COMPANIES: a person with authority to do so under the laws of the jurisdiction of its organization.
Documents that are endors
ed filed are available at www.michigan.gov/corpentitysearch. If the submitted document is not fileable, the notice of refusal to
file
and
document will be available at the Rejected Filings Search website at www.michigan.gov/corprejectedsearch.
Optional expedited service.
Expedited review and filing, if fileable, is available for all documents for profit corporations, limited
liability companies, limited partnerships and nonprofit corporations.
The nonrefundable expedited service fee is in addition to the regular fees applicable to the specific
document.
Please complete a separate CSCL/CD-272 form for expedited service for each document submitted
in person
or by mail.
24-hour service - $50 for formation documents and applications for certificate of authority.
24-hour service - $100 for any document concerning an existing entity.
Same day service
Same day - $100 for formation documents and applications for certificate of
authority.
Same day - $200 for any document concerning an existing entity.
Review completed on day of receipt. Document and request for same day expedited
service must be received by 1 p.m. EST OR EDT.
Two hour - $500
Review completed within two hours on day of receipt. Document and request for two hour
expedited service must be received by 3 p.m. EST OR EDT.
One hour - $1000
Review completed within one hour on day of receipt. Document and request for 1 hour
expedited service must be received by 4 p.m. EST OR EDT.
Documents submitted by mail are delivered to a remote location for receipts processing and are
then forwarded to the Corporation
s
Division for review. Day of receipt for mailed expedited service
requests is the day the Corporations Division receives the request.
Rev. 10/17