PDF document
- 1 -
   PAUL D. PATE AMENDED FOREIGN 
Secretary of Sta et REGISTRATION STATEMENT

State of Iowa 

TO THE SECRETARY OF STATE OF THE STATE OF IOWA: 
Pursuant to section 1504 of the Iowa Business Corporation Act, the undersigned foreign
corporation submits for filingthe following amended foreign registration statement:

1. The name of  the corporation is:
                 1A. The name the corporation uses in Iowa, if different than the legal name of the corporation is: 

 (See note #6)
 2.   If the corporate  name has been changed, the corporate name has been changed  to:

   2B. If the corporation  uses an alternate name in Iowa, and that name has been changed, or a change to the legal
 name of the corporation now requires the corporation to use a different name in Iowa, the new name is:

         3. The corporation was formed under t he l aws of tehstate or foreign  country of:

     3A. If the jurisdiction of formation has changed, the new  jurisdiction is:

    4. The period of duration of the corporation was:

     4A. If the duration has changed, the new duration is: 
        . 5 The current street and mailing addresses of  its principal office are:
  Street Address:

Address
City,  State, Z  ip
Mailing Address, if different from principal office street address above:

Address
City,  State, Z  ip

. 6The current street and mailing addresses of any additional required office in thejurisdiction offormation are:
Street Address:

Address
City,  State, Z  ip
Mailing Address, if different from principal office street address above:

Address
City,  State, Z  ip

  635_0114
3/22



- 2 -
        7.  The current street and mailing addresses of its registered office in Iowa and the name of its registered agent
            at that office are:

            Street Address:
            Name
            Address
            City, Stat ,eZ       ip

            Mailing Address:
            Address
            City, Stat ,eZ       ip
                           
        8.  The names         and business addresses of its current directors and officers:

            Name
            Address
            City, Stat ,eZ       ip

            Name    
            Address   
            City  , State  , Zip 

            Name    
            Address   
            City  , State  , Zip 

            Name    
            Address   
            City  , State  , Zip 

            Name    
            Address   
            City  , State  , Zip 
                                           [Please attach additional pages as necessary] 

        . 9 A certificate of existence, or a document of similar import, duly authenticated within 90
            days prior to the date of this application, by the secretary of state or other official having
            custody of corporate records in the state or country of incorporation, accompanies this
                                                                                    
            application.                                                             
                                                                                    
            Signature                                                               
        10.
                                                                                   
            Type or print name andtitle                                            
        635_0114
        3/2 2



- 3 -
   NOTES: 

   1. The filing fee is $100.00. Make checks payable to SECRETARY OF STATE
   2. A certificate of existence, or a document of similar import, duly authenticated within 90 days prior to the date of
      this application, by the secretary of state or other official having custody of corporate records in the state or
      country of incorporation, must accompany this application.

   3. The document is to be signed by the chairperson of the board, the president, or other officer of the corpora-
      tion. If directors have not been selected, the document is to be signed by an incorporator. If the corporation
      is in the hands of a court appointed fiduciary, the document is to be signed by the fiduciary. A copy of a
      signature is acceptable for filing. Verification is not required.

   4. One copy of the document is to be delivered to the Secretary of State for filing.

   5. The effective time and date of the document is the later of the following:
             a. the time of filing on the date it is filed;
             b. the time specified in the document on the date it is filed;
             c. the time and date specified in the document, not later than 90 days after the date it is filed.
   6. If the name of the corporation does not satisfy the requirements of section 401 of the Iowa Business Corporat    ion
      Act, the corporation may do one of the following:
         a. add one of the following words or abbreviations to its corporate name for use in Iowa:
               corporation, incorporated, company, limited, corp., inc., co., ltd.;
         OR 
         b. choose a compliant, available fictitious name for transacting business in Iowa if the corporation's real
               name is unavailable and submit with this application a completed Fictitious Name Resolution resolving
               to adopt that name.
   7. The information you provide will be open to public inspection under Iowa Code chapter 22.11.

                                              SECRETARY OF STATE 
                                              Business Services Division 
                                              Lucas Building, 1st Floor 
                                              Des Moines, Iowa 50319 
                                              Phone:  (515)281-5204         
                                                 Fax:(     515) 242-5953 
                                              Website: sos.iowa.gov 

    635_0114   
    3/22






PDF file checksum: 2997360208

(Plugin #1/9.12/13.0)