Statement Form Of Correction Of Trade Name Information Correcting The Jurisdiction Under The Law Of Which The Entity Is Formed

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Form must be filed electronically.
Paper forms are not accepted.
This copy is a sample and cannot be submitted for filing.
Statement of Correction of Trade Name Information
Correcting the Jurisdiction Under the Law of Which the Entity is Formed
filed pursuant to § 7-90-305 of the Colorado Revised Statutes (C.R.S.)
1. The trade name ID number and the name of the person transacting business or conducting activities under
the trade name are
ID number
__________________________
(Colorado Secretary of State ID number)
Name
______________________________________________________.
2. The document number of the document that is corrected and the trade name as stated in the statement of
trade name are
Document number
__________________________
Trade name
______________________________________________________.
3. The statement in the document identified above concerning the jurisdiction under the law of which the entity
is formed is incorrect.
4. The jurisdiction under the law of which the entity is formed as corrected is __________________________.
5.
(If applicable, adopt the following statement by marking the box.)
This document is filed for historical purposes only and does not correct the jurisdiction currently of
record.
6.
(If applicable, adopt the following statement by marking the box and include an attachment.)
This document contains additional information as provided by law.
Notice:
Causing this document to be delivered to the Secretary of State for filing shall constitute the affirmation or
acknowledgment of each individual causing such delivery, under penalties of perjury, that such document is
such individual's act and deed, or that such individual in good faith believes such document is the act and deed
of the person on whose behalf such individual is causing such document to be delivered for filing, taken in
conformity with the requirements of part 3 of article 90 of title 7, C.R.S. and, if applicable, the constituent
documents and the organic statutes, and that such individual in good faith believes the facts stated in such
document are true and such document complies with the requirements of that Part, the constituent documents,
and the organic statutes.
This perjury notice applies to each individual who causes this document to be delivered to the Secretary of
State, whether or not such individual is identified in this document as one who has caused it to be delivered.
7. The true name and mailing address of the individual causing this document to be delivered for filing are
____________________ ______________ ______________ _____
(Last)
(First)
(Middle)
(Suffix)
______________________________________________________
(Street number and name or Post Office Box information)
CORRECT_TDNM_JURIS
Page 1 of 2
Rev.1/01/2008

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