Certificate Of Amendment Nonstock Corporation - Connecticut Secretary Of The State (Page 3 of 3) in pdf

COMPLETING A CERTIFICATE OF AMENDMENT

FOR A NONSTOCK CORPORATION

ANY QUESTIONS CONCERNING COMPLETION OF THIS FORM OF THE AMENDMENT

PROCESS SHOULD BE DIRECTED TO THE CORPORATION’S OWN COUNSEL.

Instructions

NAME OF CORPORATION: Please provide the complete name of the corporation as it

currently appears on the records of the Secretary of the State. Note: If the corporation is

adopting a new name, such new name must be set forth in item number 3 on the form.

THE CERTIFICATE OF INCORPORATION IS (check A, B or C): Please place a check next to

the appropriate function. Note: If the Certificate of Incorporation is either Restated or Amended

and Restated, each element of the corporation's Certificate of Incorporation must be set forth in

item number 3 or on a referenced attachment.

Amended Only:

Check this block only if the company’s Certificate of

Incorporation is being amended. Example: the company’s name

is being changed.

Restated Only:

Check this block only if the provisions of the original

Certificate of Incorporation as supplemented and amended, are

merely being restated so that the effective provisions of the

Certificate of Incorporation are integrated into one document.

There cannot be any discrepancy between the above mentioned

provisions and the provisions being restated.

Amended and Restated: Check this block only if the Certificate of Incorporation is being

amended and every article of the original Certificate of

Incorporation, as supplemented and amended, are integrated into

one document.

TEXT OF EACH AMENDMENT / RESTATEMENT: Please provide the full text of each

amendment and/or a complete expression of the certificate of incorporation being restated. If

you intend to change the corporation’s name by way of an amendment, you may wish to reserve

the new corporation name to ensure its availability at the time of filing. The fee to reserve a

corporate name for 120 days is $60.00.

VOTE INFORMATION (select A, B, or C): Please choose and complete A if a member vote

was required and taken. Select B if the amendment, amendment and restatement or restatement

was approved by the incorporators without the need for member approval.

Select C if

amendment, amendment and restatement or reinstatement was approved by the board of directors

without the need for member approval.

EXECUTION: The document must be executed by an authorized official of the corporation.

That person must print or type their name, state the capacity under which they sign and provide a

signature. The execution constitutes a legal statement under the penalties of false statement that

the information provided in the document is true.

Rev. 12/07/09

Certificate Of Amendment Nonstock Corporation - Connecticut Secretary Of The State Page 3