oe iii
05777012 JEN 05 2017
ARIZONA CORP. COMMISSION
a en
(OO NOT WRITE ABOVE THIS LINE: RESERVED FOR ACC USE ONLY.
LLC STATEMENT OF CHANGE OF KNOWN PLACE OF BUSINESS ADDRESS OR STATUTORY AGENT Read the instructions L020)
NOTE —- no matter what is being changed, numbers 1, 2, 3.1, 4.1, and 4.2 must be completed. The form will be rejected if those sections are not campieted.
1. ENTITY NAME - give the exact name of the LLC as currently shown in A.C.C. records: Heinrich LC
2. A.C.C. FILE NUMBER: £20677741
Find the A.C.C, file 1umber on the upper comer Of Tiled documents OR on our wensite at Nipi/7wan aa
Sow OM sone Cormoratone
3. ARIZONA KNOWN PLACE OF BUSINESS ADDRESS:
3.1 REQUIRED - list the known place of 3.2 Optional - List the NEW known place of business address currently shown in A.C.C. business address in Arizona (must be a records (before any changes): street or physical address):
aRemtgn Toptona Witention (opuenaty 3301 SOUTH SUNLAND DRIVE | 240 W MISSOURI AVE “Address 1” ie i TP adaress UNIT 9 | ‘Raaress 2 Topelonal re foptionaly
Radress 2 Coptionat! AZ 95248 ‘Address 2 (optional) AZ, $5013
cty CHANDLER _[ state zip city PHOENIX state 2ip
|
3.3 If you completed 3.2, is the NEW known place of business address in Arizona the same as the street address of the statutory agent? fmyes [No
4, CURRENT OR EXISTING STATUTORY AGENT - list the name and addresses of the statutory agent as shown in the records of the Arizona Corporation Commission before any changes (this is the existing statutory agent):
[4.2 REQUIRED — list the mame and physical | 4.2 REQUIRED - list the mailing address
or street address (not a P.O. Box) in (if one exists in A.C.C. records) in Arizona Arizona of the existing statutory agent: of the existing Statutary Agent:
“Statutory Agent Name
CHAD HEINRICH
GEE iene once | 3301 SOUTH SUNLAND DRIVE 3301 SOUTH SUNLAND DRIVE __ Sarat aT | x. RaaESS Sapo Raaress 2 atnnaiy a — i AZ 35248 AZ. | 85248 city CHANDLER stare Pp cx, CHANDLER state t Zip |
Aecenia Corpo’at an Commission — Corporations Orvsian Page 193
4.3 (J CHANGE IN EXISTING STATUTORY AGENT NAME ONLY - if the name only of the existing statutory agent listed in number 4.1 above has changed, but a new agent has not been appointed, check the box and give the new name of the existing statutory agent below:
4.4 CHANGE IN EXISTING STATUTORY AGENT ADDRESS ~ check ali that apply and follow instructions:
¥] STREET ADDRESS CHANGED - complete number 4.5. [¥] MAILING ADDRESS CHANGED - complete number 4.6.
physical or street address (not a P.O. Box) mailing address in Arizona of the existing in Arizona of the existing statutory agent: statutory agent (can be a P.O. Box):
‘Rafenton (optional) — = —--* sal
Retention (ophonal)
240 W MISSOURI AVE 240 W MISSOURI AVE
Addis 1 Address 1
UNIT 9 UNIT 9 | * ["Radress"3 Cptionaly ‘Address Dloptonaly
85013
PHOENIX PHOENIX
Cty
cil
'5. []) NEW STATUTORY AGENT - if a new statutory agent is being appointed, check the box
and complete the following for the NEW statutory agent:
5.1 REQUIRED — give the name (can be an } 5.2 OPTIONAL - mailing address in Arizona of individual or an entity) and physical or NEW Statutory Agent (can be a P.O. Box): street address (not a P.O. Box) in Arizona of the NEW statutory agent:
—t a
‘BtatMtOry Agent Name
} Attention (optional)
H i “Ritantion Waptional) i i
‘Address Raaress 1
“Fridress 2 (optional) ‘Address 2 (cptional,
‘ity State oo city | state dio
5.3 REQUIRED - if you are appointing a new statutory agent, the Statutory Agent Acceptance form M002 must be submitted along with this Statement of Change form.
ara.an1 Arzo7a Coreoration Conamissien ~ Corporations Divtsion Rev. 2010 Page 2 of 3
If the person signing this form is the existing statutory agent changing its own address, then by the signature appearing below, the existing statutory agent certifies under penaity of perjury that he or she has given the LLC named in number 1 above written notice of the address change.
By checking the box marked "I accept" below, I acknowledge under penaity of perjury that this document together with any attachments is submitted in compliance with Arizona law.
L ACCEPT
CLL Mer rich / ay: 3 [Z org
Printed Name
fe Tam the individual Manager of [ Tam a Member of this member- Tam a Statutory Agent this manager-managed LLC or I —— managed LLC or I ar signing for an changing only my own address
am signing for an entity entity member named: and/or my own name. manager named:
Filing Fee: $5.00 (regular processing) Mail: Arizona Corporation Commission - Corporate Filings Section Expedited processing - add $35.00 to filing fee. | 1300 W. Washington St., Phoenix, Arizona 8S007 if Ail fees are nonrefundable - see Instructions. Fax: 602-542-4100
Please be ativised that A.C.C. forms eflect only the minimum provisions required by statute. You should seek private ‘egal counsel far those matters that may pertain
Lo the individual needs of your business.
All documents filed with the Arizoea Corporation Commission are public record and are open for public inspection. Th you have yueshons ater reading the instructions, please call 602-542-3026 or within Arizona only) 800-345-5819.
Ar zaa1a Corsoraten Commission ~ Cormpoxaliens Bivision
4026 901 Sage dots
Rev 7510