TRANSMITTAL INFORMATION
For All Business Filings
Business Name (List exactly as it appears in documents)
Name of person filing document (evidence of filing will be mailed to this person, at address below)
Daytime phone number
Address
City
State
Zip Code
NOTE: Louisiana Law requires all Louisiana notaries to print or type their name and notary or
bar roll number on the document.
Commercial Division
(225) 925-4704
Fax Numbers
(225) 932-5314 Corporations
(225) 932-5317 Legal Services
(225) 932-5318 UCC
STATE OF LOUISIANA
S
ECRETARY OF STATE
Nancy Landry
SECRETARY OF STATE
Mailing Address: P. O. Box 94125, Baton Rouge, LA * 70804-9125
Office Location: 8585 Archives Ave., Baton Rouge, LA * 70809
Web Site Address: www.sos.la.gov
SS984 Rev. 01/24
Fax number Email address
Routine
Expedite $30
Check or Money Order Enclosed
Please indicate below the level of service requested, payment and contact information
Priority Expedite $50
2-4 hour processing
*Do not put credit card information on this form. You may save payment information in your geauxBIZ profile under master account.
24 hour processing
Nancy Landry
Secretary of State
STATEMENT OF CHANGE OF REGISTERED OFFICE,
REGISTERED AGENT AND/OR PRINCIPAL BUSINESS
ESTABLISHMENT IN LOUISIANA
(R.S. 12:308 & 12:1350)
Foreign Corporation/Foreign
Return to: Commercial Division
Limited Liability Company
P. O. Box 94125
Enclose $25 filing fee Baton Rouge, LA 70804-9125
Make remittance payable to Phone (225) 925-4704
Secretary of State
www.sos.la.gov
Do Not Send Cash
STATE OF
PARISH/COUNTY
Notice is given that the below named corporation/limited liability company has changed its registered office,
registered agent and/or principal business establishment.
Company Name:
Complete the following sections, where applicable:
New Registered Office address:
New Registered Agent and address:
(agent’s address must be identical to registered office unless agent is a law partnership or an individual attorney)
New address of Principal Business Establishment in Louisiana:
President or Vice President/Manager or Member
(Registered agent if only registered office is changed)
Sworn to and subscribed before me, the undersigned Notary Public, on this date:
Notary
AGENT’S ACCEPTANCE AND ACKNOWLEDGEMENT OF APPOINTMENT
I acknowledge and accept my appointment as agent for the above named corporation/limited liability
company.
Agent
Sworn to and subscribed before me, the undersigned Notary Public, on this date:
Notary
SS346 Rev. 01/24
(to be filed in duplicate) (See instructions on back)
INSTRUCTIONS
1. If a foreign corporation or limited liability company changes its registered office address, its registered
agent, or the address of its principal business establishment in this state, a Statement of Change
must be filed with the secretary of state. This form should be filed (in duplicate) with the Secretary of
State’s Office along with the $25 filing fee.
2. If the only change made is the address of the registered office, this form need only be executed and
acknowledged before a notary public by the registered agent.
3. If the registered agent is changed, the statement must be executed and acknowledged before a
notary public by the president or a vice president for a corporation; by a manager, if management of
the limited liability company is vested in one or more managers, or a member, if management
is reserved to the members, for a limited liability company, and the new agent must execute the
Agent’s Acceptance and Acknowledgment of Appointment.
4. If the principal business establishment address has changed, the statement must be executed and
acknowledged before a notary public by the president or a vice president for a corporation; by a
manager or member for a limited liability
company.
