State of Alaska 
                         Division of Corporations, Business and Professional Licensing 
                         CORPORATIONS SECTION 
                         PO Box 110806 
                         Juneau, AK  99811-0806 
                         Phone: (907) 465-2550 
                         Fax: (907) 465-2974 
                         Website: www.commerce.alaska.gov/occ 

             AMENDED CERTIFICATE OF REGISTRATION 
                                 Foreign Limited Liability Company  
                                       AS 10.50.625 – 10.50.630 
Filing Fee: $25.00 (non-refundable)  
INSTRUCTIONS (Please retain for your records): 
NOTICE: The Amended Certificate of Registration will not be filed if a biennial report is due or the signatures 
do not match what the Corporations Section has on record. Verify the following before completing the 
application. 
o     Have all current biennial reports be filed?
o     Are the members/managers up to date on our records?

To verify this information please search for the entity by going to Search Corporations Database in the 
Corporations Section of our website at www.commerce.alaska.gov/occ. If there is a biennial report due, the 
report may be filed online by selecting Biennial Reports on the Corporations Section page. If the 
members/managers have changed, but no biennial report is due, please submit a Notice of Change located in 
the Forms and Fees section.  

Refer to Alaska Statutes 10.50.625 – 10.50.630. An application for registration may be amended in any way 
if the application for registration as amended contains only provisions that this chapter allows to be 
contained in an application for registration at the time of amendment.  

ITEM 1: Provide the name of the entity currently on record and the Alaska Entity Number. 

ITEM 2: Legal name of the limited liability company must contain the words “limited liability company” or the 
abbreviation “L.L.C.”, or “LLC”. 

ITEM 3: Provide an assumed name if the amended legal name is not available for use in Alaska. 

ITEM 4: Provide the date the Certificate of Registration was originally filed.  

ITEM 5: List each item being amended from the prior registration. The amended article must be set out in full.  
Any item being changed is considered an amendment; this includes deletions, edits, corrections, or 
renumbering of the articles.  

ITEM 6: The Amended Certificate of Registration must be signed by a member, manager, or Attorney-in-Fact.  

Mail the Articles of Amendment and the non-refundable $25.00 filing fee in U.S. dollars to: 
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK  99811-0806 

STANDARD PROCESSING TIME for complete and correct applications submitted to this office is 
approximately 10-15 business days. All applications are reviewed in the date order they are received. 

08-498 (Rev. 05/15/2018)         Amended Certificate of Registration Instructions  

             State of Alaska 
                                                                           DO NOT STAMP ABOVE THIS BOX 
             Division of Corporations, Business and Professional Licensing 
                                                                           Office Use Only       CORP 
             CORPORATIONS SECTION 
             PO Box 110806 
             Juneau, AK  99811-0806 
             Phone: (907) 465-2550 
             Fax: (907) 465-2974 
             Website: www.corporations.alaska.govcc 

                         AMENDED CERTIFICATE OF REGISTRATION 
                                   Foreign Limited Liability Company 
                                   AS 10.50.625 -10.50.630 

  $25.00 Filing Fee (non-refundable) 

Pursuant to Alaska Statutes 10.50.625 – 10.50.630, the undersigned corporation applies for an amended Certificate 
of Registration of Foreign LLC. An application for registration may be amended in any way if the application for 
registration as amended contains only provisions that this chapter allows to be contained in an application for 
registration at the time of amendment. 
NOTE: If the name is amended, attach a Certificate of compliance from the state of domicile. 

ITEM 1 :Name of the Entity:                                          Alaska Entity #: 

ITEM 2 : New legal name of the limited liability company must contain the words “limited liability company” or the 
abbreviation “L.L.C.,” or “LLC”.   

ITEM 3 : New assumed name if the amended legal name is not available for use in Alaska.  

ITEM 4 : 
Date the original Registration of Foreign LLC was filed: 

ITEM 5 : List each item being amended from the prior registration on record with this Division. The amended 
item must be set out in full. Any article being changed is considered an amendment; this includes deletions, 
edits, corrections, or renumbering of the articles. 

Attach an additional sheet if necessary. 

08-498 (Rev. 05/15/2018)                 Page  1of       2 

ITEM 6: The Amended Certificate of Registration must be signed by a person who is authorized by the law of 
the state or other jurisdiction where the company was organized to sign the application. 

Signature                Printed name                                      Title         Date 
If signing on behalf of a member or manager which is an entity, then identify signer’s relationship and signing authority with the member entity. 
For example: John Smith, President of XYZ Inc. the sole member of ABC LLC. 

NOTE: Persons who sign documents filed with the commissioner that are known to the person to be false in 
material respects, is guilty of a class A misdemeanor.  

Mail the Amended Certificate of Registration and the non-refundable $25.00 filing fee in U.S. dollars to: 
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK  99811-0806 

STANDARD PROCESSING TIME for complete and correct applications submitted to this office is 
approximately 10-15 business days. All applications are reviewed in the date order they are received. 

08-498 (Rev. 05/15/2018) Page  2of                      2 

                  THE  TATE S                                                                                                                                   COR 
                     of                                                          FOR DIVISION USE ONLY 
                       ALASKA                                                                                                                 
                  Department of Commerce, Community and Economic Development 
                  Division of Corporations, Business and Professional Licensing 
 
         Corporations     Section  
                                                             th
         State Office Building, 333 Willoughby Avenue, 9  Floor 
 
         PO Box 110806,     Juneau, AK  99811-0806 
         Phone: (907) 465-2550    •Fax: (907) 465-2974 
         Email: corporations@alaska.gov       
         Website: Corporations.Alaska.Gov 

Contact Information 
 
        •  Return this form with your filing 
        •  This information may be used by the Division to assist with processing your attached filings 
        •  This form will not be filed for record, or appear online 

       Entity Information                                           Enter your entity information as it appears on this filing. 

        Entity Name:                    

        AK Entity #:                    
                                                                                                                                                                 
       Contact Person                              Whom may we contact with any questions or problems with this filing? 

        Company:                        

        Contact:                        

                                 Address: 
        Mailing Address: 
                                 City:                                                                         State:                   ZIP: 

        Phone:                      

        Email:                          
      
       Document Return Address                               Provide an address for the return of your filed documents. 
      
           Return my filings to the address provided ABOVE                       
           Return my filings to this address provided BELOW                      
      
        Company:                  

        Contact:                  

                                 Address: 
        Mailing Address: 
                                 City:                                                                         State:                   ZIP: 
 
  08-561           Rev 7/14/16           Contact Information 

                         THE  TATE S                                                                                                          FOR DIVISION USE ONLY 
                         of 
                                                                                                                                                              
                           ALASKA 
                         Department of Commerce, Community, and Economic Development 
                         Division of Corporations, Business and Professional Licensing 
 
          State of Alaska  
          Department of Commerce, Community, and Economic Development 
          Division of      Corporations, Business and Professional Licensing 
          PO Box 110806, Juneau, AK 99811 
          Phone: (907)     465-2550 
 
Credit Card Payment Form                                                                                        

All major credit cards are accepted. For security purposes, do not email credit card information. 
Include this credit card payment form with your application.  

Name of Applicant or Licensee:      _________________________________________________________________________________________________________________________ 

Program Type:   ________________________________________________________       License Number (if applicable):                                    ________________________________ 

 I wish to make          payment by credit card for the following(check all that apply):                                                                        AMOUNT           

          Application Fee:  _________________________________________________________________________________________________                           __________________________         

          License or Renewal Fee:        _________________________________________________________________________________                              __________________________         

          Other (name change, wall certificate, fine, duplicate license, exam, etc.):         

            1.           _____________________________________________________________________________________________________________________               __________________________ 

            2.          _____________________________________________________________________________________________________________________                __________________________         

                                                                                                       TOTAL:            ___________________________ 

Name (as shown on credit card):   ________________________________________________________________________________________________________________________ 

Mailing Address:            ___________________________________________________________________________________________________________________________________________________ 

Phone Number:   ________________________________________________________      Email (optional):               _______________________________________________________ 

Signature of Credit Card Holder:                     _____________________________________________________________________________________________________________________ 

  08-4438                   Rev 12/26/18                   Credit Card Payment Form (all major cards accepted) 
  
   CREDIT CARD INFO:  Your payment cannot be processed unless all fields are completed! 
   
       1. Account Number:                                                                                       All four fields MUST 

                                                                                                                                                 be completed! 
       2. Expiration Date:                                                                                                                                    

                                                                                                                This section will be 
       3. Billing ZIP Code: 
                                                                                                                destroyed after the 
       4. Security Code:                                                                                       payment is processed.