Form 251 - Application For Amended Certificate Of Authority - 2005
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2Filing Fee: $25.00
ID Number: ____________
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS
Office of the Secretary of State
Corporations Division
148 W. River Street
Providence, Rhode Island 02904-2615
NON-PROFIT CORPORATION
_____________
APPLICATION FOR
AMENDED CERTIFICATE OF AUTHORITY
Pursuant to the provisions of Section 7-6-82 of the General Laws of Rhode Island, 1956, as amended, the undersigned
foreign non-profit corporation hereby applies for an Amended Certificate of Authority to conduct affairs in the state of
Rhode Island, and for that purpose submits the following statement:
1. The name of the corporation is
2. A Certificate of Authority was issued to the corporation by the Secretary of State of the State of Rhode Island on
, authorizing it to conduct affairs in Rhode Island.
3. The corporate name of the corporation has been changed to:
(If the name has not been changed, insert “no change”)
4. It desires to pursue in the conduct of its affairs in Rhode Island other or additional specific purposes than those set
forth in its prior Application for a Certificate of Authority, as follows:
(If no other or additional purposes are proposed, insert “None”)
Form No. 251
Revised: 12/05
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