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                             District of Columbia Government 
                                                   Corporations Division

               Amendment of Foreign Registration Statement Form FN-2, Ver. 2, April 2018. 
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:                    Corporate Online Services Information: 
Department of Consumer and Regulatory Affairs              Many corporate filings are available by using CorpOnline 
Corporations Division                                      Service. 
PO Box 92300                                               Go to CorpOnline site at https://corponline.dcra.dc.gov, create 
Washington, DC 20090                                       the profile, access the online services main page and proceed. 
                                                           Online filers must pay by using the credit card. 
Phone: (202) 442-4432 






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