State of Alaska 
                          Division of Corporations, Business and Professional Licensing 
                          CORPORATIONS SECTION 
                          PO Box 110806 
                          Juneau, AK  99811-0806 
                          Phone: (907) 465-2550 
                          Fax: (907) 465-2974 
                          Website: www.commerce.alaska.gov/occ 
                                                      
                  AMENDED CERTIFICATE OF AUTHORITY 
                            Foreign Cooperative Corporation 
                            AS 10.15.525 & AS 10.06.738 
 Filing Fee: $25.00 (non-refundable)    
  
 INSTRUCTIONS (Please retain for your records): 
  
 NOTICE: The Amended Certificate of Authority will not be filed if a biennial report is due or the signatures do 
 not match what the Corporations Section has on record. To verify this information please search for the entity 
 by going to Search Corporations Database in the Corporations Section of our website at 
 www.commerce.alaska.gov/occ. If there is a biennial report due, the report may be filed online by selecting 
 Biennial Reports on the Corporations Section page.  
  
 Pursuant to Alaska Statutes 10.06.738, the undersigned corporation applies for an amended Certificate 
 of Authority. The intent of this application is to amend only the items provided on the application.  
 If a change needs to be made to an item that is not present on this form please contact the Division for 
 more information 
  
 ITEM 1: Provide the name of the entity currently on record and the Alaska Entity Number. 
  
 ITEM 2: Provide the amended legal name, if any, of the corporation; this must contain the word “corporation,” 
 “company,” “incorporated,” “limited,” or an abbreviation of one of these words.  
  
 ITEM 3: Provide the assumed name, if any. NOTE: Assumed names are not the same as a DBA name. An 
 assumed name is only used if the legal name of the corporation in the home state is unavailable in the State.    
  
 ITEM 4: Provide the amended assumed name of the corporation, if any. 
  
 ITEM 5: State the amended purpose and the NACIS code. (if applicable) NAICS code may not conflict with the 
 purpose listed. A complete list of NAICS codes is available on our website listed above. 
  
 ITEM 6  : Provide the amended number of authorized shares. Zero (0) is not an acceptable quantity. If there is 
 more than one class or series of authorized shares, please provide this information.  
  
 ITEM 7  : Provide the amended number, class, and series of issued shares, if any. If shares have been issued. 
  
 ITEM 8  : The Amended Certificate of Authority must be signed by the corporate president or vice president and 
 secretary or assistant secretary on record with this office. If the same person holds two of these positions, two 
 different people must sign the application, unless that person holds all positions.   
  
 08-475 (Rev. 02/27/2013)   Amended Certificate of Authority Instructions          
  

NOTE: Persons who sign documents filed with the commissioner that are known to the person to be false in 
material respects are guilty of a class A misdemeanor.  
 
Required Supporting Documents: If the name is amended, attach a Certificate of Compliance from the state 
of domicile. If the purpose or stock information is amended, attach a certified copy of the Articles of 
Amendment from the state of domicile.  
 
Mail the Amended Certificate of Authority and the non-refundable $25.00 filing fee in U.S. dollars to: 
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK  99811-0806 
 
STANDARD PROCESSING TIME for complete and correct applications submitted to this office is 
approximately 10-15 business days. All applications are reviewed in the date order they are received.   
 
08-475 (Rev. 02/27/2013) Amended Certificate of Authority Instructions  
 

              State of Alaska 
                                                                                DO NOT STAMP ABOVE THIS BOX 
              Division of Corporations, Business and Professional Licensing 
                                                                                Office Use Only       CORP 
              CORPORATIONS SECTION 
              PO Box 110806 
              Juneau, AK  99811-0806 
              Phone: (907) 465-2550 
              Fax: (907) 465-2974 
              Website: www.commerce.alaska.gov/occ                                                                
                                                                                                                  
                          AMENDED CERTIFICATE OF AUTHORITY                                       
                              Foreign Cooperative Corporation 
                              AS 10.15.525 & AS 10.06.738 

      $25.00 Filing Fee (non-refundable)                                         

 Pursuant to Alaska Statutes 10.06.738, the undersigned corporation applies for an amended Certificate of 
 Authority. The intent of this application is to amend the name and/or purpose of the original Certificate of 
 Authority, only. Do not file this application if the name and/or purpose is not being amended. 
  
 NOTE: If the name is amended, attach a Certificate of Compliance from the state of domicile. If the purpose is 
 amended, attach a certified copy of the Articles of Incorporation from the state of domicile.  
  
 Pursuant to Alaska Statutes 10.06.738, the undersigned corporation applies for an amended Certificate of 
 Authority. If a change needs to be made to an item that is not present on this form please contact the Division 
 for more information. NOTE: If the name is amended, attach a Certificate of Compliance from the state of 
 domicile. If the purpose or stock information is amended, attach a certified copy of the Articles of 
 Amendment from the state of domicile.  
  
 ITEM 1  : Legal name of the entity currently on record:                 Alaska Entity #: 
                                                                          
 ITEM 2:  Amended legal name of the corporation, if any: 
    
 ITEM 3: Assumed name prior to amendment (if applicable): 
    
 ITEM 4: Amended assumed name of the corporation, if any:   
    
 ITEM 5: Provide the amended purpose (may include “any lawful”) and the 6 digit NAICS Industry Grouping 
 Code that most clearly describes the initial activities of the company: 
   Purpose:                                                               NAICS        
                                                                          code: 
 Attach an additional sheet if necessary. 
  
 08-475 (Rev. 02/27/2013)                 Page  1of      2                       

ITEM 6   : Amended number of authorized shares (zero is not an acceptable quantity): 
                             Common                    
                             Preferred 
# of Authorized shares   Class                          Series                       Par value
                             Common                    
                             Preferred 
# of Authorized Shares   Class                          Series                       Par value
 
ITEM 7  : Amended number of issued shares; if shares have been issued: 
                                                                              
# of Issued Shares       Class                       Series                  Par Value 
                                                                              
# of Issued Shares       Class                       Series                  Par Value 
 
ITEM 8: The printed name and signature of the president or vice president, and secretary or assistant 
secretary. If the same person holds two of these positions, two different people must sign the application, 
unless that person holds all positions. 
 
Signature of President or Vice President      Printed name of President or Vice President        Date 
     
Signature of Secretary or Assistant Secretary Printed name of Secretary or Asst. Secretary       Date 
 
NOTE: Persons who sign documents filed with the commissioner that are known to the person to be false in 
material respects are guilty of a class A misdemeanor.  
 
Required Supporting Documents: If the name is amended, attach a Certificate of Compliance from the state 
of domicile. If the purpose or stock information is amended, attach a certified copy of the Articles of 
Amendment from the state of domicile.  
 
Mail the Amended Certificate of Authority and the non-refundable $25.00 filing fee in U.S. dollars to: 
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK  99811-0806 
 
STANDARD PROCESSING TIME for complete and correct applications submitted to this office is 
approximately 10-15 business days. All applications are reviewed in the date order they are received.  
 
08-475 (Rev. 02/27/2013)                      Page  2of 2                             

               State of Alaska 
                                                                                 DO NOT STAMP ABOVE THIS BOX 
               Division of Corporations, Business and Professional Licensing 
                                                                                 Office Use Only       CORP 
               CORPORATIONS SECTION 
               PO Box 110806 
               Juneau, AK  99811-0806 
               Phone: (907) 465-2550 
               Fax: (907) 465-2974 
               Website: www.commerce.alaska.gov/occ                                                                      
                                                                                                                         
                            CONTACT INFORMATION SHEET  

 Please return this document with your filing. This information will only be used to resolve questions with the filings 
 attached. NOTE: this form will not be filed for record or appear online. 
  
 Name of entity as it appears on filing: 
   
 To resolve questions with this filing, contact: 
  Name: 

  Email:                                                                  Phone:

  Mailing address: 

 Return documents to: 
  Name: 

  Company: 

  Mailing address: 
  
 Attach this form to your filings. Send all documents to: 
 State of Alaska, Corporations Section, PO Box 110806, Juneau, AK  99811-0806 
  
 STANDARD PROCESSING TIME for complete and correct applications submitted to this office is 
 approximately 10-15 business days. All applications are reviewed in the date order they are received.  

  08-561 (Rev. 02/01/2012)                       Page  1of 1