Free Certificate of Amendment - Massachusetts

F FPC

The Commonwealth of Massachusetts
William Francis Galvin Secretary of the Commonwealth One Ashburton Place, Boston, Massachusetts 02108-1512

FORM MUST BE TYPED

(General Laws Chapter 156D, Section 15.04; 950 CMR 113.49)

Certificate of Amendment

FORM MUST BE TYPED

(1) Exact name of corporation: ___________________________________________________________________________ (ascontainedintheDivision'srecords)

(2) Registered office address: ________________________________________ _____________________________________ (number,street,cityortown,state,zipcode)

(3) This amendment shall change: (checkappropriatebox(es))

® the corporation's name to *: _______________________________________________________________________ ® the period of the corporation's duration to: ___________________________________________________________ ® the state or country of its incorporation to*: __________________________________________________________ ® the street address of its principal office to: ____________________________________________________________ ® the fiscal year end to: ____________________________________________________________________________ ®the activities conducted by the foreign corporation in the commonwealth: ___________________________________ ____________________________________________________________________________________________ ®its officers and directors:__________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ ® other ________________________________________________________________________________________ ThenamemustsatisfytherequirementsofG.L.Chapter156D,Section15.06. *Iftheamendmentincludesachangeofitscorporatename,orthestateorcountryofitsincorporation,attachacertificateevidencingthe changesdulyauthenticatedbythesecretaryofstateorotherofficialhavingcustodyofthecorporaterecordsinthestateorcountryunder whoselawitisincorporated.Ifthecertificateisinaforeignlanguage,atranslationthereofunderoathofthetranslatorshallbeattached.
P.C.
c156ds1504950c11349 01/13/05

This certificate is effective at the time and on the date approved by the Division, unless a later effective date not more than 90 days from the date of filing is specified: _________________________________________________________________________

Signed by: ___________________________________________________________________________________________ , (signatureofauthorizedindividual) ® Chairman of the board of directors, ® President, ® Other officer, ® Court-appointed fiduciary,

on this _________________________ day of_________________________________________ , _____________________ .

COMMONWEALTH OF MASSACHUSETTS
Secretary of the Commonwealth One Ashburton Place, Boston, Massachusetts 02108-1512

William Francis Galvin

(General Laws Chapter 156D, Section 15.04; 950 CMR 113.49)
I hereby certify that upon examination of this foreign certificate of amendment, duly submitted to me, it appears that the provisions of the General Laws relative thereto have been complied with, and I hereby approve said certificate; and the filing fee in the amount of $______ having been paid, said certificate is deemed to have been filed with me this _____________ day of _____________, 20______ , at _______a.m./p.m. time Effective date: _____________________________________________________ (mustbewithin90daysofdatesubmitted)

Certificate of Amendment

WILLIAM FRANCIS GALVIN
SecretaryoftheCommonwealth Filing fee: $100

Examiner Name approval C M

TO BE FILLED IN BY CORPORATION
Contact Information: ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ Telephone: ___________________________________________________ Email: ______________________________________________________ Upon filing, a copy of this filing will be available at www.sec.state.ma.us/cor. If the document is rejected, a copy of the rejection sheet and rejected document will be available in the rejected queue.