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State of New Hampshire
Form LLC-3 RSA 304-C:13
Filing fee: $35.00 Use black print or type.
Form must be single-sided, on 81/2"x11 paper; double sided copies will not be accepted.
LIMITED LIABILITY COMPANY CERTIFICATE OF AMENDMENT TO THE CERTIFICATE OF FORMATION
PURSUANT TO THE PROVISIONS OF CHAPTER 304-C, SECTION 13 OF THE NEW HAMPSHIRE REVISED STATUTES ANNOTATED, THE UNDERSIGNED SUBMITS THE FOLLOWING CERTIFICATE OF AMENDMENT: FIRST: The name of the limited liability company is . SECOND: The text of each amendment is:
[If more space is needed, attach additional sheet(s).] *Signature: Print or type name: Title:
(Enter "manager" or "member")
Date signed: * Signature and title of person signing for the limited liability company. MUST BE SIGNED BY A MANAGER OF THE LIMITED LIABILITY COMPANY. IF NO MANAGER, IT MUST BE SIGNED BY A MEMBER. (If the limited liability company is in the hands of a receiver, executor, or other court appointed fiduciary, trustee, or other fiduciary, it must be signed by that fiduciary.) DISCLAIMER: All documents filed with the Corporate Division become public records and will be available for public inspection in either tangible or electronic form. Mail fee and DATED AND SIGNED ORIGINAL to: Corporate Division, Department of State, 107 North Main Street, Concord, NH 03301-4989.
Form LLC-3 (5/2009)