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             Arkansas Secretary                                           of State                                                               
                                                              1401 W.Capitol,  Suite 250,                                  Little Rock, AR 72201
             John Thurston                                                501-682-3409 • www.sos.arkansas.gov
                                                     
   Application for Amended Certificate of Registration

             by Foreign Limited Liability Company
                                                    (Please type or print)

FILL IN COMPLETELY

The undersigned, pursuant to Act 1041 of 2021, sets forth the following:

1.                                                                        is a Foreign Limited Liability Company
   authorized to transact business within the State of Arkansas.

2. Date original Application for Registration filed in Arkansas:

3. The Amendment to the Application for Registration is:

I affirm that I am the individual authorized to sign on behalf of the aforementioned entity to be formed and that, 
under penalty of perjury, the information stated in this record is accurate.

                                                    _______________________________________________________________________
                                                                                                                  Signature

                                                    _______________________________________________________________________
                                                                                                                    Name

                                                    _______________________________________________________________________
                                                                                                                     Title 

Fee: $300.00 payable to Arkansas Secretary of State                                                                         FL-02 Rev. 8/21






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