COMPLETE, PRINT, SIGN AND FAX OR MAIL
(If paying with Credit Card complete authorization at bottom of page 3)
FOR OFFICE USE ONLY
AMENDED CERTIFICATE OF AUTHORITY
FOREIGN LIMITED LIABILITY COMPANY
SECRETARY OF STATE
SFN 51734 (07-2008)
SEE REVERSE SIDE FOR FEES, FILING AND MAILING INSTRUCTIONS
1.A. The application MUST be accompanied by ALL of the following:
B. The following MAY be required:
Filing fee of $50
Signed consent to use of name and fee of $10
If amending the name, a current Certificate of Fact verifying the
Trade Name Registration and fee of $25
name change certified by the government officer of the state or
country where Articles of Organization are filed.
For reference, see North Dakota Century Code, Section 10-32-140.
TYPE OR PRINT LEGIBLY
3. Reason for Amended Certificate of Authority
2. Type of limited liability company applying for amended certificate of authority (check one)
4. Name of limited liability company EXACTLY as currently authorized by the North Dakota Secretary of State
5. Federal ID Number
6. Name of limited liability company as amended, EXACTLY as it appears on Certificate of Fact from state or country of origin
7. If applicable, provide the trade name and complete the Trade Name Registration form if the selected trade name is not already registered in North
Dakota. Only provide the trade name in this line if:
a) The "new" limited liability company name is not in the form as required of limited liability companies in North Dakota.
b) The Secretary of State has notified the limited liability company that its "new" name is the same as or deceptively similar to a name already
registered, and the limited liability company is unable to obtain consent to use of name from the previous filer or a certified copy of a final decree
of a court of competent jurisdiction establishing prior right of this limited liability company to use of the name in North Dakota.
c) The limited liability company does not wish to use or protect its "new" name in North Dakota and chooses to use a name other than its limited
liability company name.
8. Complete address of principal executive office: (Street/RR, PO Box, City, State, Zip+4) which may not only be a post office box number
9. State or country where
11. Telephone Number
12. Toll-Free Telephone Number
10. Date when limited liability company will expire in
state or country of origin: (month, day, year) or
13.A. Name of commercial registered agent in North Dakota
Name of noncommercial registered agent in North Dakota
13.C. Address of noncommercial registered agent in North Dakota: (Street/RR, PO Box, City, State, Zip+4) May not be only a post office box.
14. Nature of business or activities the limited liability company conducts or intends to conduct in the State of North Dakota
MANAGERS AND GOVERNORS OF THE LIMITED LIABILITY COMPANY
COMPLETE MAILING ADDRESS
If needed, attach sheet to add names of additional managers or governors.
16. "The undersigned has read the foregoing application, knows the contents thereof, and believes the statements are true. I further authorize the Secretary
of State to correct numbers 4, 6, 9, 13A, and 13B if not correctly reflected."
17. Name of person to contact about this document
Daytime telephone number and extension, if