PRIMARY EMAIL ADDRESS CHANGE - Georgia

Secretary of State

OFFICE OF SECRETARY OF STATE CORPORATIONS DIVISION

2 Martin Luther King Jr. Dr. SE Suite 313 West Tower Atlanta, Georgia 30334 (404) 656-2817

PRIMARY EMAIL ADDRESS CHANGE

The undersigned submits this form for the purpose of changing the primary email address on the records of the Secretary of State for the entity or registration listed below.

1. Entity/Registration Information:

Entity/Registration Name: _________________________________________________________________ Control/Registration Number: ______________________________

Entity/Registration Type (check one only): Corporation Limited Liability Partnership (LLP) Cable/Video Franchise

Limited Liability Company (LLC)

Limited Partnership (LP/LLLP)

Trademark/Service Mark

Development Authority

Other: ________________________________________________

2. New Primary Email Address: ___________________________________________________________________

3. I hereby certify, under penalty of law, that the above information is true and correct.

_____________________________________________________ Signature of Authorized Person

___________________________________ Date

_____________________________________________________ Print Name*

___________________________________ Title

______________________________________________________________________________________________________

Address

City

State

Zip Code

_____________________________________________________ Email

4. Notice: Mail or deliver the following items to the Secretary of State at the above address: (1) This form; and (2) Payment of $5 fee by check or money order payable to "Secretary of State". Fees are non-refundable.

* Enter individual's legal name, i.e. first and last name without use of initials or nicknames. Middle names or initials may be included.

FORM CD 705

(Rev. 1/2020)

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