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 www.dos.state.ny.us

CERTIFICATE OF AMENDMENT OF THE CERTIFICATE OF INCORPORATION OF
(Insert Name of Domestic Corporation)

Under Section 803 of the Not-for-Profit Corporation Law

FIRST: The name of the corporation is:
If the name of the corporation has been changed, the name under which it was formed is:

SECOND: The date of filing of the certificate of incorporation with the Department of State is: THIRD: The law the corporation was formed under is: FOURTH: The corporation is a corporation as defined in Section 102(a)(5) of the Not-for-Profit Corporation Law. The corporation is a Type corporation. If the corporate purposes are being enlarged, limited or otherwise changed, the corporation shall be a Type corporation. FIFTH: The amendment effected by this certificate of amendment is as follows:
(Set forth each amendment in a separate paragraph providing the subject matter and full text of each amended paragraph. For example, an amendment changing the name of the corporation would read as follows: "Paragraph First of the Certificate of Incorporation relating to the corporate name is hereby amended to read in its entirety as follows: First: The name of the corporation is ... (new name) ...")

Paragraph

of the Certificate of Incorporation relating to

is hereby [check the appropriate box(es)] to read in its entirety as follows:
DOS-1553 (Rev. 5/08)

added to read in its entirety as follows or

amended

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Paragraph

of the Certificate of Incorporation relating to

is hereby [check the appropriate box(es)] Q added to read in its entirety as follows or Q amended to read in its entirety as follows:

Paragraph

of the Certificate of Incorporation relating to

DOS-1553 (Rev. 5/08)

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is hereby [check the appropriate box(es)] Q added to read in its entirety as follows or Q amended to read in its entirety as follows:

SIXTH: The Secretary of State is designated as agent of the corporation upon whom process
against it may be served. The address to which the Secretary of State shall forward copies of process accepted on behalf of the corporation is:

SEVENTH: The certificate of amendment was authorized by: [Check the appropriate box]
G The amendment was authorized by a vote of a majority of the members at a meeting. G The amendment was authorized by the unanimous written consent of the members entitled to vote thereon. G The amendment was authorized by a vote of a majority of the entire board of directors. The corporation has no members.

(Signature)

(Name of Signer)

(Title of Signer)

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CERTIFICATE OF AMENDMENT OF THE CERTIFICATE OF INCORPORATION OF
(Insert Name of Domestic Corporation)

Under Section 803 of the Not-for-Profit 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. Please be sure to review Section 804 and Section 404 of the Not-for-Profit Corporation Law to determine if any consents or approvals are required to be attached to this certificate of amendment. The certificate must be submitted with a $30 filing fee.
For Office Use Only

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