- 3 -
|
DSCB:15-413–Instructions
Pennsylvania Department of State
Bureau of Corporations and Charitable Organizations
P.O. Box 8722
Harrisburg, PA 17105-8722
(717) 787-1057
web site: www.dos.pa.gov/corps
General Information document or correspondence may be downloaded. Any email
Typewritten is preferred. If handwritten, the form must be or mailing addresses provided on this form will become part
legible and completed in black or blue-black ink in order to of the filed document and therefore public record.
permit reproduction. 1. Give the exact name of the association as registered to do
The nonrefundable filing fee for this form is $250. Checks business in Pennsylvania and as on file with the Department of
should be made payable to the Department of State. Checks State.If a foreign association has adopted an alternate name in
must contain a commercially pre-printed name and address. order to register to do business in Pennsylvania, the registered
foreign association must use the alternate name in response to
This form and all accompanying documents shall be mailed to a requirement that a document delivered to the Department for
the address stated above. filing state the name of the association. This field is required.
Who should file this form? 2. Select the type of association. Only one option may be
A foreign association that is registered to do business in this selected. This field is required.
Commonwealth must deliver to the Department for filing an
amendment to its foreign registration statement if there is a 3. Give one of the following: the current registered office
change in any of the following: address in the Commonwealth in (a) or the name of a
(1) The name of the association. Commercial Registered Office Provider (b) and the county of
(2) The type of association, including, if it is a foreign venue, as on file with the Department of State at the time the
limited partnership, whether the association became or ceased amendment is submitted for filing.
to be a foreign limited liability limited partnership. Post office boxes are not acceptable for any address. Under 15
(3) The association’s jurisdiction of formation. Pa.C.S. § 135(c) (relating to addresses), an actual street or
(4) An address required by section 412(a)(4) (relating to rural route box number must be used as an address, and the
foreign registration statement). Department of State is required to refuse to receive or file any
(5) Its registered office. document that sets forth only a post office box address.
(6) The authority of the association to have one or more This field is required.
series.
Applicable Law 4. Any date specified as the effective date of the Amendment
For foreign associations, in general, 15 Pa.C.S. §§ 102; 401- of Foreign Registration must be a future effective date (after
419; for amendment, 15 Pa.C.S. § 413; for names, 15 Pa.C.S. the date and time of its delivery to the Department). A
§ 414 and §§ 201-209. Statutes are available on the specified effective date may not be retroactive (prior to the
Pennsylvania General Assembly website, date and time of the delivery of the Amendment of Foreign
www.legis.state.pa.us, by following the link for Statutes. Registration to the Department). If a delayed effective date is
specified, but no time is given, then the time used will be
Attachments 12:01 a.m. on the date specified. If neither option for an
The following, in addition to the filing fee, shall accompany effective date is checked, it will be presumed that no specified
this form: delayed effective date is intended and the document will be
(1)One copy of a completed form DSCB: 15-134B effective upon filing. This field is required.
(Docketing Statement - Changes).
(2)Any necessary copies of form DSCB: 19-17.2 (Consent 5. Supply the change(s) to the information previously supplied
to Appropriation of Name). If Consent cannot be obtained, the in the association’s Foreign Registration Statement
association may adopt, for the purpose of doing business in (DSCB:15-412). If the amendment reflects a change in name
this Commonwealth, an alternate name that complies with 15 for the association which does not comply with 15 Pa.C.S. §
Pa.C.S. § 414 and §§ 201-209. 414 and 15 Pa.C.S. §§ 201-209, the foreign association must
(3)Any necessary governmental approvals. have consent to use the name or adopt an alternate name that
(4)If the association must adopt an alternate name for use in complies 15 Pa.C.S. §§ 201-209 for use in Pennsylvania and
Pennsylvania, a resolution adopting the name must be the consent or a resolution from the association’s governors
attached. adopting the name must be attached. This field is required.
Signature and Verification
Form Instructions An authorized representative of the foreign association must
Enter the name and mailing address to which any sign the Amendment of Foreign Association. Signing a
correspondence regarding this filing should be sent. This field document delivered to the Department for filing is an
must be completed for the Bureau to return the filing. If the affirmation under the penalties provided in 18 Pa.C.S. § 4904
filing is to be returned by email, an email address must be (relating to unsworn falsification to authorities) that the facts
provided. An email will be sent to address provided, stated in the document are true in all material respects.
containing a link and instructions on how a copy of the filed This field is required.
|