Free Fillable Certificate of Amendment Form - New York

New York State Department of State Division of Corporations, State Records and Uniform Commercial Code One Commerce Plaza, 99 Washington Avenue Albany, NY 12231 http://www.dos.state.ny.us

CERTIFICATE OF AMENDMENT OF
(Insert Name of Foreign Corporation)

Under Section 1309 of the Business Corporation Law

FIRST: The name of the corporation as it appears on the index of names in the Department of
State is: fictitious name the corporation has agreed to use in New York State is:
(Complete this paragraph only if the corporation has agreed to use a fictitious name in New York State.) The

.

SECOND: The jurisdiction of incorporation of the corporation is:
.

THIRD: The date on which the corporation was authorized to do business in New York State is:
.

FOURTH: The Application for Authority is amended as follows: (If the true name of the foreign corporation has been changed, set forth a statement that the change of name has been effected under the laws of the jurisdiction of incorporation and the date the change was so effected.)

Paragraph follows:

of the Application for Authority is amended to read in its entirety as

DOS-1559 (Rev. 3/08)

-1-

Paragraph follows:

of the Application for Authority is amended to read in its entirety as

(Signature)

(Name of Signer)

(Title of Signer)

CERTIFICATE OF AMENDMENT OF
(Insert Name of Foreign Corporation)

Under Section 1309 of the Business Corporation Law

Filer's Name Address City, State and Zip Code

NOTE: This form was prepared by the New York State Department of State. It does not contain all optional provisions under the law. You are not required to use this form. You may draft your own form or use forms available at legal stationery stores. The Department of State recommends that all documents be prepared under the guidance of an attorney. The certificate must be submitted with a $60 filing fee.
For Office Use Only

-2-