Free Certificate of change of directors or officers - Massachusetts

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FEDERAL IDENTIFICATION NO. ______________________

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

CERTIFICATE OF CHANGE OF DIRECTORS OR OFFICERS OF NON-PROFIT CORPORATIONS
(General Laws, Chapter 180, Section 6D)

I, ____________________________________________________________________________________ , *Clerk / *Assistant Clerk

of _________________________________________________________________________________________________________ , (Exact name of corporation) having a principal office at ___________________________________________________________________________________ , (Street address of corporation in Massachusetts) certify that pursuant to General Laws, Chapter 180, Section 6D, a change in the directors and/or the president, treasurer and/ or clerk of said corporation has been made and that the name, residential address, and expiration of term of each director and the president, treasurer and clerk are as follows: NAME President: Treasurer: Clerk: **Assistant Clerk: Directors: RESIDENTIAL ADDRESS EXPIRATION OF TERM OF OFFICE

SIGNED UNDER THE PENALTIES OF PERJURY, this ___________ day of _______________________________ , 20 _________ ,

____________________________________________________________________________________ , *Clerk / *Assistant Clerk.
*Delete the inapplicable words. **Please provide the name and residential address of the assistant clerk if he/she is executing this certificate of change.
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