Free DO-01 - Arkansas

Arkansas Secre t a ry of State
Charlie Daniels
State Capitol · Little Rock, Arkansas 72201-1094 501-682-3409 · www.sos.arkansas.gov

Business & Commercial Services, 250 Victory Building, 1401 W. Capitol, Little Rock

Instructions: File at least one original certificate with original signatures, with the Secretary of State, State Capitol, Little Rock, AR 72201-1094 with payment of fees. A copy will be returned to the corporation at the listed address, and must be filed in the office of the county clerk in which the corporation's office is located, (in other than Pulaski County) within 60 days after the date of filing with the Secretary of State.

Certificate of Amendment
, a corporation duly organized, created and existing under and by virtue of the laws of the State of Arkansas, by its President and its Secretary,

DOES HEREBY CERTIFY A. The name of the corporation is: B. The attached amendment was adopted on C. That the number of shares outstanding is vote thereon is which voted against is (100%). The number of shares voted for is , by the shareholders.

and the number of shares entitled to . The number of shares

. (If the shares are entitled to vote thereon as a class, the designation and

number of outstanding shares entitled to vote thereon of each such class, and the number of shares of each class which voted for and against are required.) D. If the amendment provides for an exchange, reclassification, or cancellation of issued shares shall be effected as follows (if stated in attached amendment, do not restate):

E. If the amendment effects a change in the amount of stated capital, then state the manner in which the same is effected and state the amount of the stated capital changed by the amendment in dollars and cents.

IN WITNESS WHEREOF, the said corporation, has caused its corporate name to be subscribed by its President, who hereby verifies that the statements contained in the foregoing Certificate of Amendment are true and correct to the best of his/her knowledge and duly attested by its Secretary, on this day of , .

Corporate Seal

I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days.

Corporate Name

President (Type or Print)

President's Authorized Signature

Date

ATTEST:
Secretary

Filing Fee: $50.00 payable to Arkansas Secretary of State

DO-01 REV. 4/06