PAUL D. PATE AMENDED FOREIGN Secretary of Sta et REGISTRATION STATEMENT State of Iowa TO THE SECRETARY OF STATE OF THE STATE OF IOWA: Pursuant to section 1504 of the Iowa Business Corporation Act, the undersigned foreign corporation submits for filingthe following amended foreign registration statement: 1. The name of the corporation is: 1A. The name the corporation uses in Iowa, if different than the legal name of the corporation is: (See note #6) 2. If the corporate name has been changed, the corporate name has been changed to: 2B. If the corporation uses an alternate name in Iowa, and that name has been changed, or a change to the legal name of the corporation now requires the corporation to use a different name in Iowa, the new name is: 3. The corporation was formed under t he l aws of tehstate or foreign country of: 3A. If the jurisdiction of formation has changed, the new jurisdiction is: 4. The period of duration of the corporation was: 4A. If the duration has changed, the new duration is: . 5 The current street and mailing addresses of its principal office are: Street Address: Address City, State, Z ip Mailing Address, if different from principal office street address above: Address City, State, Z ip . 6The current street and mailing addresses of any additional required office in thejurisdiction offormation are: Street Address: Address City, State, Z ip Mailing Address, if different from principal office street address above: Address City, State, Z ip 635_0114 3/22 |
7. The current street and mailing addresses of its registered office in Iowa and the name of its registered agent at that office are: Street Address: Name Address City, Stat ,eZ ip Mailing Address: Address City, Stat ,eZ ip 8. The names and business addresses of its current directors and officers: Name Address City, Stat ,eZ ip Name Address City , State , Zip Name Address City , State , Zip Name Address City , State , Zip Name Address City , State , Zip [Please attach additional pages as necessary] . 9 A certificate of existence, or a document of similar import, duly authenticated within 90 days prior to the date of this application, by the secretary of state or other official having custody of corporate records in the state or country of incorporation, accompanies this application. Signature 10. Type or print name andtitle 635_0114 3/2 2 |
NOTES: 1. The filing fee is $100.00. Make checks payable to SECRETARY OF STATE 2. A certificate of existence, or a document of similar import, duly authenticated within 90 days prior to the date of this application, by the secretary of state or other official having custody of corporate records in the state or country of incorporation, must accompany this application. 3. The document is to be signed by the chairperson of the board, the president, or other officer of the corpora- tion. If directors have not been selected, the document is to be signed by an incorporator. If the corporation is in the hands of a court appointed fiduciary, the document is to be signed by the fiduciary. A copy of a signature is acceptable for filing. Verification is not required. 4. One copy of the document is to be delivered to the Secretary of State for filing. 5. The effective time and date of the document is the later of the following: a. the time of filing on the date it is filed; b. the time specified in the document on the date it is filed; c. the time and date specified in the document, not later than 90 days after the date it is filed. 6. If the name of the corporation does not satisfy the requirements of section 401 of the Iowa Business Corporat ion Act, the corporation may do one of the following: a. add one of the following words or abbreviations to its corporate name for use in Iowa: corporation, incorporated, company, limited, corp., inc., co., ltd.; OR b. choose a compliant, available fictitious name for transacting business in Iowa if the corporation's real name is unavailable and submit with this application a completed Fictitious Name Resolution resolving to adopt that name. 7. The information you provide will be open to public inspection under Iowa Code chapter 22.11. SECRETARY OF STATE Business Services Division Lucas Building, 1st Floor Des Moines, Iowa 50319 Phone: (515)281-5204 Fax:( 515) 242-5953 Website: sos.iowa.gov 635_0114 3/22 |