Form Cr192 - Articles Of Amendment/restatement/dissolution Form
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1Phone: (503) 986-2200
Articles of Amendment/Restatement/Dissolution—Cooperative
Fax: (503) 378-4381
Check the appropriate box below:
For office use only
Secretary of State
Corporation Division
ARTICLES OF AMENDMENT
255 Capitol St. NE, Suite 151
(Complete only 1, 2, 3, 4, 5, 9, 10)
Salem, OR 97310-1327
RESTATED ARTICLES OF INCORPORATION
(Complete only 1, 2, 3, 6, 7, 9, 10)
ARTICLES OF DISSOLUTION
Registry Number: _____________________________
(Complete only 1, 2, 3, 8, 9, 10)
Reset Form
Attach Additional Sheet if Necessary
Please Type or Print Legibly in Black Ink
1) N
C
____________________________________________________________________________________
AME OF
OOPERATIVE
2) D
A
A
R
A
__________________________________________________________
ATE OF
DOPTION OF
MENDMENT OR
ESTATED
RTICLES
3) M
V
Number of members voting for: _________________
Number of members voting against: ____________________
EMBER
OTE
ARTICLES OF AMENDMENT
RESTATED ARTICLES OF INCORPORATION
4) A
A
6) C
R
A
RTICLES
MENDED (State the article number(s) and set forth the
OPY OF
ESTATED
RTICLES
articles(s) as it is amended to read.)
Attached is a copy of the Restated Articles.
7) C
O
A
S
HECK
NLY THE
PPROPRIATE
TATEMENT
Affected shareholders do not have the right to vote.
Affected shareholders have the right to vote. The shareholder vote
was as follows:
Class or
Number of
Number of
Number of votes
Number of votes
series of
affected shares
shares entitled to
cast
cast AGAINST
shares
outstanding
vote
FOR
5) S
V
HAREHOLDER
OTE (If affected shareholders had the right to vote under
ORS 62.560.)
Number of affected
Number of votes
Number of votes cast
Number of votes cast
shareholders entitled
entitled to be cast
FOR
AGAINST
to vote
ARTICLES OF DISSOLUTION
8) S
V
R
HAREHOLDER
OTE ON
ESOLUTION (If authorized)
Total number of authorized
Number of votes required for
Number of votes cast
Number of votes cast
shareholder votes
adoption
FOR
AGAINST
Date of the vote: ________________
9) E
XECUTION
Printed Name
Signature
Title
FEES
Make check for $10 payable to
“Corporation Division.”
NOTE: Filing fees may be paid
with VISA or MasterCard. The
10) C
N
D
P
N
– I
A
C
ONTACT
AME
AYTIME
HONE
UMBER
NCLUDING
REA
ODE
card number and expiration date
should be submitted on a separate
sheet for your protection.
CR192 (Rev. 12/99)
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