Form Cf-4 - Wv Application For Amended Certificate Of Authority - West Virginia Secretary Of State

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Joe Manchin, III
Penney Barker, Supervisor
Corporations Division
Secretary of State
Tel. (304) 558-8000
State Capitol, Suite 139-W
Fax (304) 558-0900
1900 Kanawha Blvd. E.
wvsos@secretary.state.wv.us
Charleston, WV 25305-0770
WV APPLICATION FOR
PLEASE READ INSTRUCTIONS
AMENDED CERTIFICATE
FILE TWO ORIGINALS
& TWO CERTIFIED COPIES
OF AUTHORITY
CTRL # __ __ __ __ __
FEE $25
In accordance with §31-1-57 and §31-1-59 of the West Virginia Code, the undersigned corporation hereby
applies for an Amended Certificate of Authority and submits the following statement:
1.
Name under which corporation was authorized
to transact business in West Virginia:
a.
Date of certificate of authority:
2.
The corporate name has been changed to:
(Attach two certified copies of name change from home state.)
3.
Name the corporation elects to use
hereafter in West Virginia:
4.
The corporation desires to change or
modify other or additional purposes than
those set forth in its Application for an
Amended Certificate of Authority as
follows:
Date:
By:
President/Vice President
By:
Secretary/Treasurer
STATE OF:
Date:
COUNTY OF:
I,
, a Notary Public, do hereby certify that
and
appeared before me and signed the foregoing and the act and
deed of the corporation.
My commission expires
Signature of Notary Public
¶ (Place Notary Seal in this space)
Issued by Joe Manchin, III, Secretary of State, Charleston, WV
Form CF-4
Rev. 1/01

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