Form Application For Amended Certificate Of Authority - Wyoming Secretary Of State
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1
2APPLICATION FOR AMENDED
CERTIFICATE OF AUTHORITY
Wyoming Secretary of State
Phone (307) 777-7311/7312
The Capitol Building, Room 110
Fax (307) 777-5339
200 W. 24th Street
E-mail: corporations@state.wy.us
Cheyenne, WY 82002-0020
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 your office on ____________________,
_________ , authorizing it to transact business in your State and is presently registered under the
name of: _______________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
2.
The corporate name of the corporation has been changed to: _________________________________
______________________________________________________________________________
3.
The state or country of incorporation has been changed to: _____________________________________
4.
It is incorporated under the laws of: _____________________________________________________
5.
The date of its incorporation is: _______________________________________________________
and the period of its duration is: _______________________________________________________
6.
The street address of its principal office: _________________________________________________
______________________________________________________________________________
7.
The mailing address where correspondence and annual report forms can be sent: __________________
______________________________________________________________________________
______________________________________________________________________________
8.
The physical address of its registered office in Wyoming and the name of its registered agent at
that address is: ____________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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