District of Columbia Government Registered Agent Combined Form

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District of Columbia Government Corporations Division Registered Agent Combined Form. If you sign anywhere on the Registered Agent Combined Form, you agree that you understand that anyone who makes a false statement anywhere on it can be punished by criminal penalties of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC § 22-2405; and the corporation's certificate of authority can be denied or revoked. RA-1. Registered Agent Written Consent. Version 2, July 2010. Use this form to appoint a Registered Agent for an entity. Choose Option A or B, but not both. There is no fee for this form. Under DC Official Code (DCOC) Titles 29 and 41, a Registered Agent (RA) must be: 1 - A bona fide resident of the District of Columbia (DC), OR 2 - A for-profit corporation, authorized by articles of incorporation or certificate of authority to act as agent.

Entities may not act as their own RAs. Limited Liability Companies (LLCs) and Limited Liability Partnerships (LLPs) and Limited Partnerships (LPs) may not act as RAs. Registered Agent Addressmay never be outside the District of Columbia. Address must be physical street address, never a PO Box. A. By a District Of Columbia resident: I, a bona fide District resident, consent to act as a RA for the entity below. Name of D.C. Resident

Address of Resident (address must be in DC: not a PO Box)

Entity Name

Signature

B. By a legally authorized corporation: The authorized corporate Registered Agent in the District, by the signatures of its President/Vice- President and Secretary/Assistant Secretary, agrees to act as RA for the entity below. Name of Corporation serving as RA

Address of Corporation (address must be in DC: not a PO Box)

Entity Name

President Vice-President Signature

Secretary Assistant Secretary Signature

Under DCOC Titles 29 and 41, the entity must mail or deliver directly to the company a copy of this form and file 2 copies with the Corporations Division, 10 days after that. The RA's appointment will end 30 days after the Corporations Division's receipt of the notice or when the entity appoints a successor agent, whichever occurs first. The Corporations Division will return the file-stamped copy of this notice to the resigning RA and send a copy to the entity.

I certify that I gave written notice of resignation to the above entity by delivering a notice to the entity at its last known registered office address in the District and, if different than its registered office, its last known principal office address. Name of the Entity to which the resignation notice is to be sent

Name of the Resigning Agent

Date of notice Date of resignation

Registered Office in the DC

Principal Office

The undersigned hereby resigns as registered agent for the above named entity. Indicate Resigning Registered Agent's Name Signature

Mail all forms and required payments to: Department of Consumer and Regulatory Affairs Corporations Division PO Box 92300 Washington, DC 20090 Phone: (202) 442-4400 Go to check dcra.dc.gov to find out which entities are required to register; search business names; get registration guidelines; search registered organizations; and download forms and documents. Just click on "Corporate Registrations." District of Columbia Government Corporations Division RA-3. Statement of Change of Registered Office or Registered Agent. Version 2, July 2010. ENTITY TYPE FILING FEE All Entities Refer to Corporate Fee Schedule posted online. Use this form to change the Registered Agent's (RA's) name or address, or both. The Registered Office's address and the RA's address must be the same, by law. You must submit 2 signed originals of this form. Under DCOC Titles 29 and 41, a Registered Agent must be: 1 - A bona fide resident of the District of Columbia (DC), OR 2 - A for-profit corporation, authorized by articles of incorporation or certificate of authority to act as agent.

Limited Liability Companies (LLCs) and Limited Liability Partnerships (LLPs) and Limited Partnerships (LPs) may not act as RAs. Registered Agent Address may never be outside the District of Columbia. Address must be physical street address, never a PO Box.

Entities may not act as their own RAs. Entity Name

Current Registered Agent

Current Registered Agent Address in DC

Name of New Registered Agent (attach RA-1 Form)

New Registered Agent Address (address must be in DC: not a PO Box)

NOTE: For-Profit/Nonprofit Corporations Only: I certify that this change was authorized by resolution of the Board of Directors or corporation officers with the power to make it. Indicate title and name of the signer: Signature Date President or Vice-President (Corporations) Manager or Authorized Person (LLCs) General Partner (LLPs/LPs)

Required for Nonprofit Corporations only: Signature Date Secretary or Assistant Secretary

This form is to be used only for Registered Agents that serve multiple entities in the District of Columbia.

List entity name, file number and current status in D.C. Use additional sheet that must contain the same information. Current Registered Agent

Current Registered Agent Address

Current Registered Agent 's New Address (address must be in DC: not a PO Box)

Indicate Registered Agent's Name and Title Signature President or Vice-President (for Corporate RAs)

D.C. Resident (for Individual RAs)

Companies represented by this Registered Agent (attach additional sheet if needed) Entity Name Entity Corporate File Number Entity Corporate Status

This form is to be used only for Registered Agents that serve multiple entities in the District of Columbia.

Under DCOC Titles 29 and 41, the RA must mail or deliver directly to the entities a copy of this form and file 2 copies with the Corporations Division, 10 days after that. The RA's appointment will end 30 days after the Corporations Division's receipt of the notice or when the entity appoints a successor agent, whichever occurs first. The Corporations Division will return the file-stamped copy of this notice to the resigning RA. Indicate the name and file number for each resigned entity.

I certify that I gave written notice of resignation to the entities named below by delivering a notice to the entities at its last known registered office address in the District and, if different than its registered office, its last known principal office address. Name of the Resigning Agent

Date of notice Date of resignation

Registered Office in the DC

Principal Office

The undersigned hereby resigns as registered agent for the entities named below.. Indicate Resigning Registered Agent 's Name and Title Signature President or Vice-President (for Corporate RAs) D.C. Resident (for Individual RAs)

Name of the Entities to which the resignation notice is to be sent (attach additional sheet if needed) Entity Name Entity Corporate File Number