Inst. Form C-100B
Page 3
Field # 4 -- Intent
Specify whether the corporation’s intent is to restate, integrate and amend by
specifying the amendment. If the amendment involves a name change, then name
availability provisions apply**:
**The name must be distinguishable from other names on the State Treasurer’s
database. The Division of Revenue will check the proposed name for
availability as part of the filing review process. If desired, you can
reserve/register a name prior to submitting your filing by obtaining a
reservation/registration. For information on name availability and
reservation/registration services and fees, visit the Division’s WEB site at
or call (609) 292-9292
Monday-Friday, 8:30 a.m. - 4:30 p.m. When calling, Select Option 2 for Other
Services, Option 3 for Service Representative, then Option 9 for General
Assistance.
Field # 5 –Other Provisions
)
(as needed
Specify other information such as the effective date if it is other than the filing date.
The effective date cannot be before the filing date nor can it be more than 30 days
after the filing date.
EXECUTION (Signature/Date)
Have the chairman, president or vice-president sign. The statue provides that only
individuals in these specified positions may execute the document. Signatures with
other titles are not permitted. Also, list the date of execution (signature).
* * * * * * * * * *
These documents should be filed in triplicate.
Make checks payable to: TREASURER, STATE OF NEW JERSEY. (No cash, please)
Mail to: NJ Division of Revenue, PO Box 308, Trenton, NJ 08646
FAX File: 609.984.6851 (Fax Filing is an optional expedited service subject to processing fees
that are in addition to those stated above. For FAX Filing information , visit
)