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. 05/02/2012)         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. 05/02/2012)          Page  2of             2                                 

               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.commerce.alaska.gov/occ                                                                      
                                                                                                                         
                            CONTACT INFORMATION SHEET  

 Please return this document with your filing. This information will only be used to resolve questions with the filings 
 attached. NOTE: this form will not be filed for record or appear online. 
  
 Name of entity as it appears on filing: 
   
 To resolve questions with this filing, contact: 
  Name: 

  Email: Phone: 

  Mailing address: 

 Return documents to: 
  Name: 

  Company: 

  Mailing address: 
  
 Attach this form to your filings. Send all documents 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.  

  08-561 (Rev. 02/01/2012)                       Page  1of 1                  
  

                         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.