Free corp 53a - Missouri

State of Missouri
D WE S T ITE

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Robin Carnahan, Secretary of State
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Corporations Division PO Box 778 / 600 W. Main St., Rm. 322 Jefferson City, MO 65102

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The undersigned corporation, for the purpose of amending its articles of incorporation, hereby executes the following articles of amendment: 1. The name of corporation is: 2. The amendment was adopted on
month/day/year

3. If approval of members was not required, and the amendment(s) was approved by a sufficient vote of the board of directors or incorporators, check here and skip to number (5): 4. If approval by members was required, check here and provide the following information: A. Number of memberships outstanding: B. Complete either C or D: C. Number of votes for and against the amendments(s) by class was: Class Number entitled to vote Number voting for Number voting against

D. Number of undisputed votes cast for the amendment(s) was sufficient for approval, and was: Class: Number Voting undisputed:

The number of votes cast in favor of the amendment(s) by each class was sufficient for approval by that class. 5. If approval of the amendment(s) by some person(s) other than the members, the board or the incorporators was required pursuant to section 355.606, check here to indicate that approval was obtained: In Affirmation thereof, the facts stated above are true and correct: (The undersigned understands that false statements made in this filing are subject to the penalties provided under Section 575.040, RSMo)

Authorized signature of officer or chairman of the board

Name and address to return filed document: Name: Address: City, State, and Zip Code:
Corp. 53A (05/2009)

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Articles of Amendment for a Nonprofit Corporation
(Submit with filing fee of $10.00)

and changed article(s)

to state as follows:

Printed Name

Title

Date