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The Commonwealth of Massachusetts
F William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
FPC
FORM MUST BE TYPED Certificate of Amendment FORM MUST BE TYPED
(General Laws Chapter 156D, Section 15.04; 950 CMR 113.49)
(1) Exact name of corporation: ___________________________________________________________________________
(as contained in the Division’s records)
(2) Registered office address: ________________________________________ _____________________________________
(number, street, city or town, state, zip code)
(3) This amendment shall change:
(check appropriate box(es))
® the corporation’s name to*: _______________________________________________________________________
® the period of the corporation’s duration to: ___________________________________________________________
® the state or country of its incorporation to*: __________________________________________________________
® the street address of its principal office to: ____________________________________________________________
® the fiscal year end to: ____________________________________________________________________________
® the activities conducted by the foreign corporation in the commonwealth: ___________________________________
____________________________________________________________________________________________
® its officers and directors:__________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
® other ________________________________________________________________________________________
The name must satisfy the requirements of G.L. Chapter 156D, Section 15.06.
* If the amendment includes a change of its corporate name, or the state or country of its incorporation, attach a certificate evidencing the
changes duly authenticated by the secretary of state or other official having custody of the corporate records in the state or country under
whose law it is incorporated. If the certificate is in a foreign language, a translation thereof under oath of the translator shall be attached.
P.C. c156ds1504950c11349 01/13/05
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