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             ArkansasSecretaryofState                                                                            
                                                        1401W.Capitol,      Suite 250, LittleRock    , 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 1003 of 1993 and Arkansas Code Annotated § 4-32-1005, 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 understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State 
is a Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days.

                                                        Authorizing Officer and Title (Type or Print)

                                                                           Authorized Signature

Fee: $300.00 payable to Arkansas Secretary of State                                             FL-02 Rev. 11/18






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