Free Certificate of Amendment to the Certificate of Incorporation - New Jersey


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State: New Jersey
Category: Government
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http://www.state.nj.us/treasury/revenue/dcr/pdforms/c102a.pdf

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C-102A Rev 12/93

New Jersey Division of Revenue Certificate of Amendment to the Certificate of Incorporation (For Use by Domestic Profit Corporations)
Pursuant to the provisions of Section 14A:9-2 (4) and Section 14A:9-4 (3), Corporations, General, of the New Jersey Statutes, the undersigned corporation executes the following Certificate of Amendment to its Certificate of Incorporation: 1. The name of the corporation is: 2. The following amendment to the Certificate of Incorporation was approved by the directors and thereafter duly adopted by the shareholders of the corporation on the Resolved, that Article day of , 20

of the Certificate of Incorporation be amended to read as follows:

3. The number of shares outstanding at the time of the adoption of the amendment was: The total number of shares entitled to vote thereon was: If the shares of any class or series of shares are entitled to vote thereon as a class, set forth below the designation and number of outstanding shares entitled to vote thereon of each such class or series. (Omit if not applicable).

4. The number of shares voting for and against such amendment is as follows: (If the shares of any class or series are entitled to vote as a class, set forth the number of shares of each such class and series voting for and against the amendment, respectively). Number of Shares Voting for Amendment Number of Shares Voting Against Amendment

5. If the amendment provides for an exchange, reclassification or cancellation of issued shares, set forth a statement of the manner in which the same shall be effected. (Omit if not applicable). 6. Other provisions: (Omit if not applicable).

L;DFS;LDFK;SLKF\
BY: (Signature) Dated this day of , 20

May be executed by the Chairman of the Board, or the President, or a Vice President of the Corporation.

Rev 7/7/05

Instructions for Form C-102A CERTIFICATE OF AMENDMENT BY THE SHAREHOLDERS PROFIT CORPORATIONS (Title14A) STATUTORY FEE: $75 The MANDATORY fields are: Field # 1 -- Business Name List the name as it appears on the records of the Treasurer. Field # 2 -- Amendment Note the date the article was approved and adopted, and list the article from the original certificate of incorporation that is being amended along with the text of the amendment, including a name change if applicable. If you are changing the corporate name, then name availability provisions apply. ** **The name must be distinguishable from other names on the State's database. Division of Revenue will check the proposed name for availability as part of the filing review process. If desired, you can reserve/register a name prior to submitting your filing by obtaining a reservation/registration. For information on name availability, or reservation/registration services and fees, visit the Division's WEB site at http://www.state.nj.us/treasury/revenue/certcomm.htm or call (609) 292-9292 Monday-Friday, 8:30 a.m. - 4:30 p.m. Field #'s 3 & 4-- Voting Indicate the number of shares outstanding and the number of shares entitled to vote on the amendment. List any class or series of shares entitled to vote (designation and number, and votes for/against). EXECUTION (DATE/SIGNATURE) Have the chairman, president or vice-president sign. Also, list the date of execution (signature). **********
These documents should be filed in duplicate. Make checks payable to: TREASURER, STATE OF NEW JERSEY. (No cash, please) Mail to: NJ Division of Revenue, PO Box 308, Trenton, NJ 08646