State of Alaska
Division of Corporations, Business and Professional Licensing
CORPORATIONS SECTION PO Box 110806
Juneau, AK 99811-0806
Phone: (907) 465-2550
Fax: (907) 465-2974
Website: www.commerce.state.ak.us/occ
NOTICE OF CHANGE OF OFFICERS OR DIRECTORS
Domestic or Foreign Business and Professional Corporations
DO NOT STAMP ABOVE THIS BOX
CORP
(OFFICE USE ONLY)
Name of Corporation _________________________________________ Alaska Entity #_____________
Prior Information: Please provide only the name & title of the prior officer/director being replaced.
Name of the prior officer/director being replaced
If necessary use an 8½” x 11” sheet of paper and attach it to this form.
►All corporations MUST have a president, secretary, treasurer and at least one director. The president and the secretary cannot be the same person unless the president is 100% shareholder.
The entity must also list any alien affiliates and all shareholders that hold 5% or more of the issued shares. New Information:
Please provide only the name, address & title of the replacements for the above prior officers/directors.
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above prior officer/director |
Director |
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►President |
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Vice |
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President |
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►Secretary |
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►Treasurer |
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►Director |
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Director |
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Director |
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If necessary use an 8½” x 11” sheet of paper and attach it to this form. |
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This notice must be signed by the president or vice-president.
Signature of Authorized Person |
Title |
Date |
To resolve questions with this filing: Please be aware, this form will become public information.
Contact Name |
Contact Phone Number |
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There are no fees associated with this filing. If there is a change in the registered agent of this corporation, a Registered Agent Registered Address Statement of Change form is required. This, other forms and additional information are available on our web site at http://www.commerce.state.ak.us/occ
Return this form to: State of Alaska
Corporations Section
PO Box 110806, Juneau, AK 99811-0806