Form C-100a - Restated Certificate Of Incorporation Page 4
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4Inst. Form C-100A
Page 2
ATTACHMENT - (REQUIRED)
Attach a fully executed Certificate Required to be filed with the Restated Certificate of
Incorporation that includes:
Field # 1 -- Business Name
List the name as it appears on the records of the Treasurer.
Field # 2 -- Date of Adoption
List the date the restated certificate was adopted. If changing the corporation name, indicate
the new name.
Field # 3 -- Voting
Indicate the number of shares outstanding and the number of shares entitled to vote on the
merger or consolidation. List any class or series of shares entitled to vote (designation and
number, and votes for/against).
Field # 4 & 5 -- Intent
Note whether the corporation’s intent is to restate/integrate only or to restate, integrate
and amend. If the latter applies, specify 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,
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 #6 -- 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 90 days after the filing
date.
EXECUTION (Signature/Date)
Have the chairman, president or vice-president of sign. Also, list the date of execution
(signature).
* * * * * * * * * *
These documents should be filed in duplicate. Non-profits should file 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
)
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Parent category: Business