C.5
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 FISCAL YEAR END
(General Laws, Chapter 180, Section 10C)
I, ____________________________________________________________________________________ , *Clerk / *Assistant Clerk
of _________________________________________________________________________________________________________ , (Exact name of corporation) having a principal office at ___________________________________________________________________________________ , (Street address of corporation in Massachusetts) certify that the fiscal year end (i.e. the tax year end) of the corporation was changed to the last day of the month
of _________________________________ .
SIGNED UNDER THE PENALTIES OF PERJURY, this ___________ day of _______________________________ , 20 _________ ,
____________________________________________________________________________________ , *Clerk / *Assistant Clerk.
*Delete the inapplicable words.
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