State of Missouri
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Robin Carnahan, Secretary of State
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This form is designed to be filled out online for your convenience. Please read the instructions carefully. Complete the necessary information, print, sign and mail.
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1. The name of the limited liability company is:
2. The jurisdiction under whose laws it was organized is:
3. Type of document being corrected (or filed copy thereof attached):
4. Describe the incorrect statement and the reason for the correction:
5. If the correction is for a foreign limited liability company with regard to an incorrect name, provide a certificate of existence or document of similar import duly authenticated by the appropriate official of the state or country where the foreign llc is registered: 6. Date the original document was filed with the Missouri Secretary of State:
Month/Day/Year
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
Authorized Signature
Authorized Signature
Name and address to return filed document: Name: Address: City, State, and Zip Code:
LLC-7 (05/2009)
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Corporations Division PO Box 778 / 600 W. Main St., Rm. 322 Jefferson City, MO 65102
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Statement of Correction for Limited Liability Company
(Submit with filing fee of $10.00)
Printed Name
Date
Printed Name
Date
Printed Name
Date