BCS/CD-517 (Rev. 12/05)
MICHIGAN DEPARTMENT OF LABOR & ECONOMIC GROWTH
BUREAU OF COMMERCIAL SERVICES
Date Received
(FOR BUREAU USE ONLY)
This document is effective on the date filed, unless a
subsequent effective date within 90 days after received
date is stated in the document.
Name
Address
City
State
Zip Code
EFFECTIVE DATE:
Ç
È
Document will be returned to the name and address you enter above.
If left blank document will be returned to the registered office.
CERTIFICATE OF ABANDONMENT OF AMENDMENT
For use by Domestic Corporations
(Please read information and instructions on reverse side)
Pursuant to the provisions of Act 284, Public Acts of 1972 (profit corporations), or Act 162, Public Acts of 1982 (nonprofit
corporations), the undersigned corporation executes the following Certificate:
1. The name of the corporation is:
2. The identification number assigned by the Bureau is:
3. The Certificate of Amendment to the Articles of Incorporation, which is to be abandoned, was filed on the
___________ day of __________________________________, __________.
4. The effective date specified in the Certificate of Amendment was the __________ day of ________________________,
_________.
5. The foregoing Amendment to the Articles of Incorporation is hereby abandoned pursuant to the provisions for abandonment
set forth in the resolution of the shareholders (or shareholders, members, or directors if a nonprofit corporation) approving
the amendment.
Nonprofit Corporations
Profit Corporations
Signed this
day of
,
Signed this
day of
,
By
By
(Signature of an authorized officer or agent)
(Signature of President, Vice-President, Chairperson or Vice-Chairperson)
(Type or Print Name)
(Type or Print Name)
(Type or Print Title)