Form 642 "Statement of Change of Agent - Domestic or Foreign Limited Liability Company" - Rhode Island

What Is Form 642?

This is a legal form that was released by the Rhode Island Secretary of State - a government authority operating within Rhode Island. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2021;
  • The latest edition provided by the Rhode Island Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 642 by clicking the link below or browse more documents and templates provided by the Rhode Island Secretary of State.

ADVERTISEMENT
ADVERTISEMENT

Download Form 642 "Statement of Change of Agent - Domestic or Foreign Limited Liability Company" - Rhode Island

Download PDF

Fill PDF online

Rate (4.3 / 5) 33 votes
Page background image
State of Rhode Island
Department of State - Business Services Division
Instructions for Filing
Limited Liability Company
Statement of Change of Resident Agent
Section 7-16-11
of the General Laws of Rhode Island, 1956, as amended
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant statutory provision. This form and the
information provided are not substitutes for the advice and services of an attorney and/or tax specialist.
All filings are public records under RIGL 38-2-1, et seq. This means all information is available to the public by a variety of methods
including, without limitations, inspections at our office, telephone inquiries and electronically through our online database.
This legal document should be typed. All illegible documents will be REJECTED.
How to complete the form:
How to confirm your filing:
1. List the entity’s ID number. The ID number can be found
Entity records are retrievable and viewable through our
website. Successful filings will NOT result in a mailed
by looking up your entity in the
Corporate
Database.
Please include this number on your check and refer to it
confirmation. Filings that cannot be processed will
in any future correspondence or filings with the Business
be posted
online
and then returned. To confirm your
Services Division.
submission and obtain evidence of your filing:
2. List the name of the limited liability company. The entity
Go to our
Corporate Database
name can be verified through our
Corporate
Database. If
Enter the name or ID number of your entity and click
the entity name has changed an amendment, form
401
“Search”
or form 451, must be filed with this office.
Electronic filing
Click on the link to your entity record, scroll down,
may be available.
select “All Filings” and then “View Filing”
3. List the address of the resident office as PRESENTLY
Identify desired type of filing and click on “PDF” under
shown in the records on file with our office. The entity’s
“View PDF” to view and print the record
resident office can be verified through our
Corporate
Database.
4. List the resident agent as PRESENTLY shown in the
How to maintain your status:
records on file with our office. The entity’s resident agent
can be verified through our
Corporate
Database.
The limited liability company is responsible for filing an
5. List the address of the NEW resident office. A Rhode
annual report each calendar year, excluding the year of
Island street address is required, NOT a P.O. Box. In
organization, between February 1 and May 1. A courtesy
addition to all legal service of process, other important
reminder will be mailed to the resident agent prior to
correspondence from the State will be sent to this
February 1 of each year. Be sure to follow up with your
address.
resident agent concerning filing this report. Failure to file
6. List the name of the NEW resident agent. The resident
an annual report or maintain a resident agent/office may
agent is an individual or entity that will accept all legal
result in the revocation of the Certificate of Organization/
service for this entity. The agent must be a Rhode Island
Registration pursuant to RIGL 7-16-41.
resident or entity qualified to do business in the state.
7. Check “Date Received” unless you prefer that the Change
Every entity registered with the Rhode Island Department
of Agent go into effect at a later date than when the form
of State - Business Services Division may have filing
is received in this office. Any later date must be within 90
requirements with the
Rhode Island Division of
Taxation,
days of filing.
even if no business is conducted within Rhode Island for
8. An Authorized Person of the limited liability company
a particular year. Your business may require additional
MUST sign and date the form.
licensing. Please visit our
website
for further information.
How to pay the filing fee:
The filing fee is $20, payable either by mail via check
made payable to RI Department of State or in person
via cash, credit card, or check at the Business Services
Division, 148 W. River Street, Ste. 1, Providence, RI
02904. Contact our office at (401) 222-3040 for further
information.
FORM 642 - Revised: 12/2021
State of Rhode Island
Department of State - Business Services Division
Instructions for Filing
Limited Liability Company
Statement of Change of Resident Agent
Section 7-16-11
of the General Laws of Rhode Island, 1956, as amended
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant statutory provision. This form and the
information provided are not substitutes for the advice and services of an attorney and/or tax specialist.
All filings are public records under RIGL 38-2-1, et seq. This means all information is available to the public by a variety of methods
including, without limitations, inspections at our office, telephone inquiries and electronically through our online database.
This legal document should be typed. All illegible documents will be REJECTED.
How to complete the form:
How to confirm your filing:
1. List the entity’s ID number. The ID number can be found
Entity records are retrievable and viewable through our
website. Successful filings will NOT result in a mailed
by looking up your entity in the
Corporate
Database.
Please include this number on your check and refer to it
confirmation. Filings that cannot be processed will
in any future correspondence or filings with the Business
be posted
online
and then returned. To confirm your
Services Division.
submission and obtain evidence of your filing:
2. List the name of the limited liability company. The entity
Go to our
Corporate Database
name can be verified through our
Corporate
Database. If
Enter the name or ID number of your entity and click
the entity name has changed an amendment, form
401
“Search”
or form 451, must be filed with this office.
Electronic filing
Click on the link to your entity record, scroll down,
may be available.
select “All Filings” and then “View Filing”
3. List the address of the resident office as PRESENTLY
Identify desired type of filing and click on “PDF” under
shown in the records on file with our office. The entity’s
“View PDF” to view and print the record
resident office can be verified through our
Corporate
Database.
4. List the resident agent as PRESENTLY shown in the
How to maintain your status:
records on file with our office. The entity’s resident agent
can be verified through our
Corporate
Database.
The limited liability company is responsible for filing an
5. List the address of the NEW resident office. A Rhode
annual report each calendar year, excluding the year of
Island street address is required, NOT a P.O. Box. In
organization, between February 1 and May 1. A courtesy
addition to all legal service of process, other important
reminder will be mailed to the resident agent prior to
correspondence from the State will be sent to this
February 1 of each year. Be sure to follow up with your
address.
resident agent concerning filing this report. Failure to file
6. List the name of the NEW resident agent. The resident
an annual report or maintain a resident agent/office may
agent is an individual or entity that will accept all legal
result in the revocation of the Certificate of Organization/
service for this entity. The agent must be a Rhode Island
Registration pursuant to RIGL 7-16-41.
resident or entity qualified to do business in the state.
7. Check “Date Received” unless you prefer that the Change
Every entity registered with the Rhode Island Department
of Agent go into effect at a later date than when the form
of State - Business Services Division may have filing
is received in this office. Any later date must be within 90
requirements with the
Rhode Island Division of
Taxation,
days of filing.
even if no business is conducted within Rhode Island for
8. An Authorized Person of the limited liability company
a particular year. Your business may require additional
MUST sign and date the form.
licensing. Please visit our
website
for further information.
How to pay the filing fee:
The filing fee is $20, payable either by mail via check
made payable to RI Department of State or in person
via cash, credit card, or check at the Business Services
Division, 148 W. River Street, Ste. 1, Providence, RI
02904. Contact our office at (401) 222-3040 for further
information.
FORM 642 - Revised: 12/2021
State of Rhode Island
Department of State - Business Services Division
STAMP
Statement of Change of Agent
DOMESTIC or FOREIGN Limited Liability Company
FOR
SECRETARY OF STATE
USE ONLY
Filing Fee: $20.00
Pursuant to the provisions of RIGL
7-16-11
the undersigned limited liability company submits the
following statement for the purpose of changing its resident agent in the State of Rhode Island:
1. Entity ID Number
2. Exact Name of the Limited Liability Company
3. The address of the resident office as PRESENTLY shown in the records on file with the RI Department of State:
Street Address
City/Town
State
Zip
RHODE ISLAND
4. The name of the resident agent as PRESENTLY shown in the records on file with the RI Department of State:
5. The address of the NEW resident office is:
Street Address (NOT a P.O. Box)
City/Town
State
Zip
RHODE ISLAND
6. The name of the NEW resident agent is:
7. Date when this Statement of Change of Resident Agent will be effective: CHECK ONE BOX ONLY
Date received (Upon filing)
Later effective date (Date must be no more than 90 days from the date of filing) ___________________________
Under penalty of perjury, I declare and affirm that I have examined this Statement of Change of Resident Agent by the
Limited Liability Company, and that all statements contained herein are true and correct.
Name of Authorized Person of the Limited Liability Company
Date
Signature of Authorized Person of the Limited Liability Company
MAIL TO:
STAMP
Division of Business Services
148 W. River Street, Providence, Rhode Island 02904-2615
Phone: (401) 222-3040
FOR
SECRETARY OF STATE
Website: www.sos.ri.gov
USE ONLY
FORM 642 - Revised: 12/2021
State of Rhode Island
Department of State - Business Services Division
Filer Contact Information
In the event our office needs more information in order to complete the filing of this
document, we ask for the filer’s contact information. All fields are REQUIRED.
Name:
Date:
Entity Name:
Street Address:
City:
State:
Zip Code:
Email Address:
Phone Number:
If you have any questions, please call us at (401) 222-3040, Monday through Friday,
between 8:30 a.m. and 4:30 p.m., or email corporations@sos.ri.gov.
FORM 642 - Revised: 12/2021
Page of 3