Free Application for Amended Certificate of Authority - Nebraska

APPLICATION FOR AMENDED CERTIFICATE OF AUTHORITY LIMITED LIABILITY COMPANY
(FOREIGN) Submit in Duplicate

John A. Gale, Secretary of State Room 1301 State Capitol, P.O. Box 94608 Lincoln, NE 68509 (402) 471-4079 http://www.sos.state.ne.us Name of Limited Liability Company_________________________________________ ______________________________________________________________________ Organized under the laws of the State of ____________________________________ Date original certificate of authority was filed in Nebraska ______________________ The name of the organization has been changed to:

The address of the principle office has been changed to:

Nature of the Business or purposes to be conducted or promoted in this state: ________________________________________________________________________

Name and address of registered agent in Nebraska:
Registered Agent Name:___________________________________________________
Address: _____________________________________________NE_______________

Street Address and post office box number (if any) City Zip

____________________________________
Signature of Authorized Representative

__________________________________
Printed name Representative

FILING FEE: $15.00
Revised 7/18/08 Neb. Rev. Stat. 21-2641