Form B-10 - Application For Amended Certificate Of Authority
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1State of North Carolina
Department of the Secretary of State
APPLICATION FOR AMENDED CERTIFICATE OF AUTHORITY
§
Pursuant to
55-15-04 of the General Statutes of North Carolina, the undersigned corporation hereby applies for an Amended
Certificate of Authority to transact business in the State of North Carolina and for that purpose submits the following statement.
1.
The name of the corporation is:______________________________________________________________________________
2.
The name the corporation is currently using in the State of North Carolina is:
_______________________________________________________________________________________________________
3.
The state or country of incorporation is:_______________________________________________________________________
4.
The date the corporation was authorized to transact business in the State of North Carolina is:
_______________________________________________________________________________________________________
5.
This application is filed for the following reason (complete all applicable items):
a.
The corporation has changed its corporate name to:*
_______________________________________________________________________________________________________
b.
The name the corporation will hereafter use in the State of North Carolina is changed to:
______________________________________________________________________________________________________
c. The corporation has changed its period of duration to:________________________________________________________
d.
The corporation has changed the state or country of its incorporation to:_________________________________________
6.
Attached is a certificate attesting to the change, duly authenticated by the secretary of state or other official having custody of
corporate records in the state of country of incorporation.
7.
If the corporation is required to use a fictitious name in order to transact business in this State, a copy of the resolution of its
board of directors, certified by its secretary, adopting the fictitious name is attached.
8.
This application will be effective upon filing, unless a date and/or time is specified:_______________
This the ______day of________________________, 20____
___________________________________________________________
Name of Corporation
___________________________________________________________
Signature
___________________________________________________________
Type or Print Name and Title
NOTES:
1.
Filing fee is $75. This application must be filed with the Secretary of State.
2.
*
If the name of the corporation as changed is unavailable for use in North Carolina, indicate this fact and state the name the corporation wishes to use in North
Carolina on 5b. (See NCGS §55-15-06)
(Revised January 2000)
(Form B-10)
Instructions for Filing
CORPORATIONS DIVISION
P. O. BOX 29622
RALEIGH, NC 27626-0622
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