Form Va-2 - West Virginia Amendment To A Voluntary Association - 2013
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1Natalie E. Tennant
Penney Barker, Manager
Secretary of State
Corporations Division
1900 Kanawha Blvd E
Tel: (304)558-8000
Bldg 1, Suite 157-K
Fax: (304)558-8381
Charleston, WV 25305
Website:
E-mail:
WEST VIRGINIA
FILE ONE ORIGINAL
Office Hours: Monday – Friday
AMENDMENT TO A
8:30 a.m. – 5:00 p.m. ET
(Two if you want a filed
stamped copy returned to you)
VOLUNTARY ASSOCIATION
FEE: $25.00
**** In accordance with WV Code §47-9A, the undersigned association adopts the following ****
Articles of Amendment to its Articles of Association.
1. The name of the association is: ________________________________________________________
2. The date of the adoption of the amendment(s) was:
______________________________________
3. Change of Name Information or Text of Amendment
____________________________________________________________
Change of Name From:
To: _____________________________________________________________________________
Other amendment(s) (attach additional pages to form, if needed)
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
4. Contact name and number of person to reach in case of problem with filing: (Optional, however, listing
one may help avoid return or rejection of filing if there appears to be a problem.)
Name: ______________________________________________
Phone: ________________________
Business e-mail address, if any: __________________________________________________________
5. Signature (See below *Important Legal Notice Regarding Signature):
____________________________________________________
__________________________
Signature
Date
______________________________________
Title / Capacity in which he/she is signing
(example: President, Chairman, etc.)
*Important Legal Notice Regarding Signature: Per West Virginia Code §31D-1-129. Penalty for signing false document.
Any person who signs a document he or she knows is false in any material respect and knows that the document is to be delivered
to the secretary of state for filing is guilty of a misdemeanor and, upon conviction thereof, shall be fined not more than one
thousand dollars or confined in the county or regional jail not more than one year, or both.
Form VA-2
Issued by the Office of the Secretary of State
Revised 4/13
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