Amendment to Annual Report (Oregon)
This amends a business annual report in Oregon. The form provided here is simply a sample of what the actual Form CR139 looks like.
CR139
Phone: (503) 986-2200
Fax: (503) 378-4381
Secretary of State
Corporation Division
255 Capitol St. NE, Suite 151
Salem, OR 97310-1327
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For office use only
____ Professional Corporation
____ Nonprofit Corporation
____ Business Corporation
____ Cooperative
____ Water District
Registry Number: ________________________________
Entity Type ____ DOMESTIC ____ FOREIGN
Please Type or Print Legibly in Black Ink - NO Filing Fee
To change the Registered Agent, use Change of Registered Agent/Address, Form CR131
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Amendment to Annual Report
1) Name of Entity __________________________________
2) Principal Place of Business (street address)
Address __________________________________
City __________________________________
State __________________________________
Zip __________________________________
3) Mailing Address
Address __________________________________
City __________________________________
State __________________________________
Zip __________________________________
4) President (Name and street address)
Name __________________________________
Address __________________________________
City __________________________________
State __________________________________
Zip __________________________________
5) Secretary (Name and street address)
Name __________________________________
Address __________________________________
City __________________________________
State __________________________________
Zip __________________________________
6) Execution
Signature ____________________________________
Printed Name ____________________________________
Title ____________________________________
Date __________________________________
7) Contact Name ____________________________________
Daytime Phone Number--Including Area Code _______________________