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State of New Hampshire
Filing fee: $35.00 Form FLLC-2
Use black print or type. RSA 304-C:178
APPLICATION FOR AMENDED REGISTRATION FOR
FOREIGN LIMITED LIABILITY COMPANY
PURSUANT TO THE PROVISIONS of the New Hampshire Limited Liability Company laws, the
undersigned hereby applies for an amended registration to transact business in New Hampshire and for
that purpose submits the following statement:
FIRST: The name of the limited liability company is:
.
SECOND: The name the limited liability company is currently using in the state of New Hampshire is:
.
THIRD: The state or country of formation is: .
FOURTH: The date the limited liability company was authorized to transact business in the state of New
Hampshire is: .
FIFTH: This application is filed for the following reason(s) (complete all applicable items):
a. The limited liability company has changed its name to:
.
b. The name the limited liability company will hereafter use in the state of New Hampshire is
changed to: .
c. The limited liability company has changed the state or country of its formation to:
.
*Signature:
Print or type name:
Title:
Date signed:
* MUST BE SIGNED BY A MANAGER IF THE LIMITED LIABILITY COMPANY HAS A MANAGER. IF NO
MANAGER, MUST BE SIGNED BY A MEMBER. (If the limited liability company is in the hands of a receiver,
executor, or other court appointed fiduciary, trustee, or other fiduciary, it must be signed by that fiduciary.)
DISCLAIMER: All documents filed with the Corporation Division become public records and will be available for
public inspection in either tangible or electronic form.
Mail fee and DATED AND SIGNED ORIGINAL to: Corporation Division,rdDepartment of State, 107 North Main Street,
Concord NH 03301-4989. Physical location: 25 Capitol Street, 3 Floor, Concord, NH 03301.
Form FLLC-2 (1/2013)
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