Enlarge image | State of Utah This form cannot be hand written. Link to Corporation Registration Information Change Form Addendum Department of Commerce Print Form Instructions Clear Form Division of Corporations & Commercial Code Corporation Registration Information Change Form Non-Refundable Processing Fee: $13.00 Entity File Number: _________________________ Entity Name: ___________________________________________________________________________________________ For each Yes button that you mark the question will appear below for you to fill out. 1). Do you want to Change the Business Purpose? Yes No 1). If Yes, what is the new Business Purpose? ___________________________________________________________________________ 2). Do you want to Change the Registered Agent or the Address of the Registered Agent? Yes No 2). If Yes, who is the new Registered Agent, or the new Address of the Registered Agent? _______________________________________________________________________________________________ What is a commercial registered agent? The address must be listed if you have a non-commercial registered agent. See instructions for further details. Address of the Registered Agent: __________________________________________________________________ Utah Street Address Required, PO Boxes can be listed after the Street Address City ___________________________________________________________________________ State UT Zip __________ 3). Do you want to Change the Principal Address of the Business Entity? Yes No 3). If Yes, what is the new Principal Address? Address: ________________________________________________ City ___________________ State ______ Zip __________ 4). Do you want to Add individuals to the Business Entity? Yes No 4). If Yes, who do you want to Add to the Business Entity and what Position will they hold? Name: ____________________________________________ Position: ___________________________________________Select/Type the position here Address: ________________________________________________ City ___________________ State ______ Zip __________ Name: ____________________________________________ Position: ___________________________________________Select/Type the position here Address: ________________________________________________ City ___________________ State ______ Zip __________ 5). Do you want to Remove individuals from the Business Entity? Yes No 5). If Yes, who do you want to Remove from the Business Entity and what Position do they hold? Name: _________________________________________ Position: ___________________________________________Select/Type the position here Name: _________________________________________ Position: ___________________________________________Select/Type the position here 6). Do you want to Change the Address of the Business Entity’s Principal(s)? Yes No 6). If Yes, who is the Principal(s) whose Address you wish to Change? Name: ____________________________________________ Position: ___________________________________________Select/Type the position here Address: ________________________________________________ City ___________________ State ____Zip_________ Name: ____________________________________________ Position: ___________________________________________Select/Type the position here Address: ________________________________________________ City __________________ State ____Zip__________ Under GRAMA {63-2-201}, all registration information maintained by the Division is classified as public record. For confidentiality purposes you may use the business entity physical address rather than the residential or private address of any individual affiliated with the entity. Under penalties of perjury and as an authorized authority, I declare that this statement of change(s), has been examined by me and is, to the best of my knowledge and belief, true, correct and complete. Name/Title: ___________________________________ Signature: ________________________________________ Date: ______ _____ 08/23 |