STATEMENT OF CHANGE OF PRINCIPAL OFFICE,
REGISTERED AGENT
and/or REGISTERED AGENT’S ADDRESS
LIMITED LIABILITY COMPANY (FOREIGN)
Submit in Duplicate
Robert B. Evnen, Secretary of State
P.O. Box 94608
Lincoln, NE 68509
(402) 471-4079
www.sos.ne.gov
Name of Limited Liability Company ________________________________________________
______________________________________________________________________________
Complete all current information, check the item(s) changing, and provide the new
information:
Current:
Principal Office ________________________________________________________________
Street and Mailing Address City State Zip
Registered Agent _______________________________________________________________
Agent’s Address ____________________________________________________NE________
Street Address and Post Office Box Number (if any) City Zip
New:
[ ] Principal Office _____________________________________________________________
Street and Mailing Address City State Zip
[ ] Registered Agent ____________________________________________________________
[ ] Agent’s Address _________________________________________________NE_________
Street Address and Post Office Box Number (if any) City Zip
Effective date if other than the date filed ______________
____________________________________
Signature of Authorized Representative
____________________________________
Printed Name of Authorized Representative
Neb. Rev. Stat. §21-114
FILING FEE: $15.00
Revised 01/10/2019