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                                        District of Columbia Government 
                                                   Corporations Division 

               Amendment of Foreign Registration Statement Form FN-2, Ver. 3, October 2022                                
Use this form to amend foreign registration statement. 

The following changes are allowed: entity name, type, jurisdiction of formation and principal address. 

               ENTITY TYPE / AUTHORITY                                                             FILING FEE 
               Foreign Filing Entity: § 29–105.04.                         Refer to Corporate Fee Schedule    posted online; 

Under the provisions of the Title 29 of D.C. Code (Business Organizations Act), the foreign filing entity listed below hereby applies 
for a Certificate of Amended Registration and for that purpose submits the statement below. 
1. Entity Name

2. Date of Issuance of Certificate of Foreign Registration

3. Describe the changes to the original foreign registration statement

4. Attach certified copy of the statement evidencing the change from Registration Authority in the State/Country of Incorporation that is not over
90 days old.
               If you sign this form you agree that anyone who makes a false statement can be punished by criminal penalties 
of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC § 22-2405; 
5. Name of the Governor or Authorized Person                          5A. Signature of the Governor or Authorized Person 

Mail all forms and required payment to:                               Many corporate filings are available online. 
Department of Licensing and Consumer Protection 
Corporations Division                                                 Go to our CorpOnline site at https://corponline.dlcp.dc.gov  and sign 
PO Box 92300                                                          in with Access DC to proceed. 
Washington, DC 20090 
Phone: (202) 442-4432                                                 Online filings are paid by credit card.