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Sec. 157.062(2) Wis. Stats. State of Wisconsin Department of Financial Institutions Division of Corporate and Consumer Services

CEMETERY ASSOCIATION AMENDMENT TO CERTIFICATE OF ORGANIZATION
1. The present name of the Association (prior to any change effected by this amendment) is:

2. The principal office of the Association is located in

County, Wisconsin.

3. Text of Amendment (Refer to the existing certificate of organization. Determine those items to be amended and set forth the number identifying the paragraph in the certificate of organization being amended and how the amended paragraph is to read.) Resolved, that the certificate of organization be amended as follows

4. The undersigned officers certify that the amendment was adopted on (date) ____________________ at an annual or special meeting of the association by a majority vote of the members present. 5. The undersigned officers have executed this amendment, in duplicate and in their respective capacities on behalf of the Association on this ___________ day of______________________, 20 ____.

______________________________
(President Printed Name)

________________________________
(Secretary Printed Name) _________________________________ (Secretary Signature)

_______________________________
(President Signature)

INSTRUCTIONS (Ref. sec. 157.062(2), Wis. Stats. for document content.) Amending the Certificate of Organization - The Association may change its name, the number of trustees or the annual meeting date by resolution at an annual meeting, or special meeting called for such purpose, by a majority vote of the members present by delivering to the Department of Financial Institutions a copy of the resolution, with the date of adoption, certified by the president and secretary or corresponding officers.

NO FILING FEE
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Sec. 157.062(2) Wis. Stats.

CEMETERY ASSOCIATION AMENDMENT TO CERTIFICATE OF ORGANIZATION Return filed duplicate to: (Enter your name and return address below.)

Your phone number during the day: (
INSTRUCTIONS - continued

) ________-_____________.

Fee: There is no fee for filing the Cemetery Association Amendment to Certificate of Organization. Delivery and Filing Procedure ­ Submit one original and one exact copy to: Mailing Address: Physical Address: Department of Financial Institutions Department of Financial Institutions Division of Corporate and Consumer Division of Corporate and Consumer Services Services PO Box 7846 345 W. Washington Ave., 3rd Floor Madison WI, 53707-7846 Madison WI 53703 For Questions: Phone: 608-261-7577 Fax: 608-267-6813 TTY: 608-266-8818

The original will be filed and retained by the Department of Financial Institutions. The stamped duplicate will be returned to the name and address indicated above. NOTICE: This form may be used to accomplish a filing required or permitted by statute to be made with the department. Information requested may be used for secondary purposes. This document can be made available in alternate formats upon request to qualifying individuals with disabilities. Item 1: Enter the name of the Association prior to any change effected by the amendment. Item 2: Enter the county in which the principal office address of the Association is located. Item 3: Enter the text of the resolution reciting the amendments to be made in the certificate of organization. Item 4: Enter the date of the meeting at which the resolution was adopted. Item 5: The amendment must be signed by the president and secretary (or corresponding officers) of the Association. GENERAL INFORMATION: Annual Report Requirement: Cemetery Associations formed under sec. 157.062, Wis. Stats., are required to file an annual report with the Department of Financial Institutions. The report is due March 1st of each year. Report forms will be mailed about January 1st to the Association at its principal office address on record with the Department of Financial Institutions. Report forms may also be requested from the Department of Financial Institutions by contacting the Division Of Corporate and Consumer Services at (608)261-7577. EXCERPT ­ 1991 WISCONSIN ACT 269 157.062(9) Exemptions for Certain Nonprofit Cemeteries In lieu of delivering a certification, resolution or copy of proceedings to the Department of Financial Institutions, under sub. (1), (2) or (6)(b), a cemetery association that is not required to be registered under s.440.91(1) and that is not organized or conducted for pecuniary profit shall deliver the certification, resolution or copy of proceedings to the office of the register of deeds of the county in which the cemetery is located. Particulars on registration requirements under s.440.91(1) may be obtained from Department of Regulation and Licensing, Attn: Cemetery Regulation, PO Box 8935, Madison, WI 53707.
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