Wyoming Secretary of State
State Capitol Building, Room 110
th
200 West 24
Street
For Office Use Only
Cheyenne, WY 82002-0020
Ph. 307.777.7311
Fax 307.777.5339
Email: Business@wyo.gov
Foreign Nonprofit Corporation
Application for Amended Certificate of Authority
Pursuant to W.S. 17-19-1504 of the Wyoming Nonprofit Corporation Act, the undersigned corporation hereby applies for an
Amended Certificate of Authority to transact business in the state of Wyoming, and for that purpose submits the following
statement:
1. A Certificate of Authority was issued to the corporation by the Wyoming Secretary of State on
,
(Date – mm/dd/yyyy)
authorizing it to transact business in Wyoming and is presently registered under the name of:
2. Name of the corporation has been changed to:
3. State or country of incorporation has been changed to:
(State or country of incorporation)
4. Incorporated under the laws of:
(State or country of incorporation)
5. Date of incorporation:
(Date – mm/dd/yyyy)
6. Period of duration:
(This is referring to the length of time nonprofit corporation intends to exist and not the length of time it has been in existence. The most
common term used is “perpetual.” You may refer to your Articles of Incorporation or contact the Corporations Division in your state of
incorporation for your period of duration.)
7. Principal office address:
8. Mailing address of the nonprofit corporation:
9. Name and physical address of its registered agent:
(The registered agent may be an individual resident in Wyoming, a domestic corporation, or foreign corporation authorized to transact
business in Wyoming, having a business office identical with such registered office. The registered agent must have a physical address in
Wyoming. A Post Office Box or Drop Box is not acceptable. If the registered office includes a suite number, it must be included in the
registered office address.)