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Statement of Change of Registered Office (Pennsylvania)

This form is to change a registered office in Pennsylvania. The form registers the name of the corporation, registered agent and address. The form provided here is simply a sample of what the actual Form 1507, 6144, 4144, 8506 and 5507 look like.

PENNSYLVANIA DEPARTMENT OF STATE CORPORATION BUREAU

STATEMENT OF CHANGE OF REGISTERED OFFICE
DSCB: 15-1507/4144/5507/6144/8506 (Rev 90)

Indicate type of entity (check one):

____ Domestic Business Corporation (15 Pa.C.S. § 1507)
____ Foreign Nonprofit Corporation (15 Pa.C.S. § 6144)
____ Foreign Business Corporation (15 Pa.C.S. § 4144)
____ Domestic Limited Partnership (15 Pa.C.S. § 8506)
____ Domestic Nonprofit Corporation (15 Pa.C.S. § 5507)

Name _____________________________

Address ___________________________

City _______________________________

State ______________________

Zip Code __________________

Document will be returned to the name and address you enter

In compliance with the requirements of the applicable provisions of 15 Pa.C.S. (relating to corporations and unincorporated associations), the undersigned corporation or limited partnership, desiring to effect a change of registered office, hereby states that:

1. The name is: _____________________________

2. The (a) address of its initial registered office in this Commonwealth or (b) name of its commercial registered office provider and the county of venue is:

Number and Street _____________________________

City ______________________________

State _____________________________

Zip ____________________

County _________________

(b) Name of Commercial Registered Office Provider c/o __________________ County ___________

3. Complete part (a) or (b):

(a) The address to which the registered office of the corporation or limited partnership in this Commonwealth is to be changed is:

___________________________________________ Number and Street

___________________________________________ City

___________________________________________ State

___________________________________________ Zip

___________________________________________ County

(b) c/o: ____________________________________ Name of Commercial Registered Office Provider

___________________________ County

4. Strike out if a limited partnership:

Such change was authorized by the Board of Directors of the corporation.


IN TESTIMONY WHEREOF, the incorporator(s) has (have) signed these Articles of Incorporation this __________________ day of ________________, _________.

________________________________________________ (Signature)

________________________________________________ (Signature)


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INSTRUCTIONS FOR FILLING OUT THIS FORM
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Department of State
Corporation Bureau
P.O. Box 8722
Harrisburg, PA 17105-8722
(717) 787-1057
Web site: www.dos.state.pa.us/corps

A. Typewritten is preferred. If not, the form shall be completed in black or blue-black ink in order to permit reproduction. The filing fee for this form is $70 made payable to the Department of State.

B. This form may not be used by a Foreign Limited Partnership which desires to amend its certificate of registration in order to reflect a change in address of registered office, change of name or other arrangements or facts that have changed. Foreign Limited Partnerships must use form DSCB:15-8585.

C. If Paragraph 3(a) is completed, the actual street address or rural route box number must be used as the address. The Department is required to refuse to receive or file under Paragraph 3(a) a form that fails to set forth an address or sets forth only a post office box address. See 19 Pa. Code § 19.2 (relating to Change of Commercial Registered Office Provider).

D. In the case of a corporation, if the change in registered office was authorized by a body other than the board of directors, Paragraph 4 should be modified accordingly.

E. This form and all accompanying documents shall be mailed to the address stated above.

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