Free Filing Fee - Rhode Island

STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS
Office of the Secretary of State Corporations Division 148 W. River Street Providence, Rhode Island 02904-2615 (401) 222-3040

INSTRUCTIONS FOR FILING AMENDMENT TO APPLICATION FOR REGISTRATION
Section 7-16-52 of the General Laws of Rhode Island, 1956, as amended The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant statutory provision. This form and the information provided are not substitutes for the advice and services of an attorney and/or tax specialist. 1. If any statement in the application for registration of a foreign limited liability company was inaccurate when made or a change has occurred, other than a change of mailing address or a change of the name and/or address of the resident agent, the limited liability company must promptly file an Amendment to Application for Registration (Form No. 451) with the Office of the Secretary of State, Corporations Division, at the above address. When the Amendment is properly completed, signed and submitted with the correct filing fee, a Certificate of Amendment shall be issued. 2. Upon filing the Amendment to Application for Registration, the limited liability company must be in good standing and current with the filing of its annual reports and the maintenance of its resident agent and the address of its resident agent in this state. 3. The Amendment to Application for Registration must be accompanied by a filing fee of $50.00, and payment should be made payable to the Rhode Island Secretary of State. 4. The Amendment to Application for Registration must be signed by a person with the authority to do so under the laws of the state or other jurisdiction of its organization. If you have any questions, please call us at (401) 222-3040, Monday through Friday, between 8:30 a.m. and 4:30 p.m.

Instructions/Form 451 Revised: 12/05

Filing Fee: $50.00

ID Number: ____________

STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS
Office of the Secretary of State Corporations Division 148 W. River Street Providence, Rhode Island 02904-2615

LIMITED LIABILITY COMPANY ___________ AMENDMENT TO APPLICATION FOR REGISTRATION
Pursuant to the provisions of Section 7-16-52 of the General Laws of Rhode Island, 1956, as amended, the undersigned foreign limited liability company hereby (check one box only) corrects or amends its Application for a Certificate of Registration to transact business in the state of Rhode Island, and for that purpose submits the following statement: 1. The name of the limited liability company is:

2. The statements in the application for registration were inaccurate when made or a change has occurred as follows:

Under penalty of perjury, I declare and affirm that I have examined this Amendment to Application for Registration, including any accompanying attachments, and that all statements contained herein are true and correct.

Date:
Print Exact Name of Limited Liability Company Making Application

By
Signature of authorized person

Form No. 451 Revised: 07/07