Application For Amendment For Certificate Of Authorization For Corporate, Limited Liability Company (Llc), Or Limited Liability Partnership (Llp) Practice Form 2000

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AEL
DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT
For Department Use Only
DIVISION OF OCCUPATIONAL LICENSING
BOARD OF REGISTRATION FOR ARCHITECTS,
ENGINEERS AND LAND SURVEYORS
STATE OFFICE BUILDING
333 WILLOUGHBY AVENUE, 9th FLOOR
P.O. BOX 110806, JUNEAU, ALASKA 99811-0806
TELEPHONE: (907) 465-2540
E-mail: license@dced.state.ak.us
APPLICATION FOR AMENDMENT FOR
CERTIFICATE OF AUTHORIZATION FOR CORPORATE, LIMITED LIABILITY
COMPANY (LLC), OR LIMITED LIABILITY PARTNERSHIP (LLP) PRACTICE
To be completed ONLY if you have a change in corporate, LLC, or LLP name, fields of practice, or person(s) in responsible
charge.
Fee:
$60 Amendment Fee (See 12 AAC 02.110(a)(7))
C-
1. Corporate, LLC, or LLP Authorization No.
2. Name of Authorized Agent
3. Telephone
No.
Check here if this is a new corporate, LLC, or LLP name and
4. Corporate, LLC, or LLP Name
see “A” below:
d/b/a
5. Mailing Address:
Street or P.O. Box
City
State
Zip Code
6. Field(s) of Corporate, LLC, or
7. Designation of person(s) in responsible charge. Attach separate list if necessary.
LLP Practice:
Name
Field of Practice
Alaska Registration No.
Architecture
Land Surveying
Landscape Architecture
Civil Engineering
Chemical Engineering
Electrical Engineering
Mechanical Engineering
Mining Engineering
Petroleum Engineering
Check here if this is a change
Check here if this is a
change in fields of practice
in person(s) designated in
and see “C” below.
responsible charge and see
“B” below.
A.
Attachments needed if you have a change in corporate, LLC, or LLP name:
1.
Photocopy of certificate from Alaska Division of Banking, Securities and Corporations showing the new corporate, LLC,
or LLP name.
2. Certified NOTARIZED copy of the corporate board of directors, the managing members or manager of the LLC, or the
general partners of the LLP’s resolution to change the corporate name.
B.
Attachments needed if you have a change in person(s) designated in responsible charge:
Certified NOTARIZED copy of the corporate board of directors, the managing members or manager of the LLC, or the
general partners of the LLP’s resolution designating the current Alaska-registered professional in responsible charge for
each branch of practice. (See sample resolution attached.)
C.
Attachments needed if you have a change in field(s) of practice:
1.
Certified NOTARIZED copy of the amendment to corporate, LLC or LLP bylaws indicating each field in which the
corporation, LLC, or LLP wishes to practice. (See sample amendment to bylaws attached.)
2. Certified NOTARIZED copy of the corporate board of directors’ resolution, the managing members or manager of the
LLC, or the general partners of the LLP’s resolution designating the current Alaska-registered professional in charge for
each branch of practice. (See sample resolution attached.)
08-4409 (Rev. 11/00)

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