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This form is designed to be filled out online for your convenience.
Complete the necessary information, print, sign and mail.
State of Missouri Print Reset
John R. Ashcroft, Secretary of State
Corporations Division
PO Box 778 / 600 W. Main St., Rm. 322
Jefferson City, MO 65102
Amendment of a
Foreign Limited Liability Company
(Submit with filing fee of $25.00)
1. The name of the foreign limited liability company as currently registered in Missouri:
Missouri Charter #:
2. The name of the limited liability company in the parent state:
3. The foreign limited liability company was formed under the laws of on the date of
State of jurisdiction
.
month/day/year
4. The foreign limited liability company’s certificate of registration is hereby amended as follows (complete all that apply):
Changing the name of the limited liability company in the parent state:
From To
Changing the name of the limited liability company to be used in Missouri:
From To
Changing the limited liability company’s state of registration:
From To
Any other matter:
Adding series under section 347.157 RSMo. (Form LLC 4A must be attached.)
5. The effective date of this document is the date it is filed by the Secretary of State of Missouri unless a future date is otherwise
indicated:
month/day/year
6. The amendment shall include a certificate of existence or document of similar import duly authenticated by the Secretary of State
or other official having custody of the records in the state or country under whose laws it is registered. Such document should be
dated within sixty calendar days from the filing for acceptance.
In Affirmation thereof, the facts stated above are true and correct:
(The undersigned understands that false statements made in this filing are subject to the penalties provided under Section 575.040, RSMo)
Authorized Signature of Member or Manager Printed Name Date
Name and address to return filed document:
Name:
Address:
City, State, and Zip Code:
LLC-14 (01/2017)
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