PENNSYLVANIA DEPARTMENT OF STATE
CORPORATION BUREAU
Statement of Correction
Entity Number
(15 Pa.C.S. § 138)
Name
Document will be returned to the
name and address you enter to
the left.
Address
⇐
City
State
Zip Code
Fee: $70
Filed in the Department of State on
__________________________
Secretary of the Commonwealth
In compliance with the requirements of 15 Pa.C.S. § 138 (relating to statement of correction) the undersigned association or other
person, desiring to correct an inaccurate record of corporate or other action or correct defective or erroneous execution of a document,
hereby states that:
1
. The name of the association or other person is:
2. The (a) address of this association’s current registered office in this Commonwealth or (b) name of its
commercial registered office provider and the county of venue is (the Department is hereby authorized to
correct the following information to conform to the records of the Department):
(a) Number and Street
City
State
Zip
County
(b) Name of Commercial Registered Office Provider
County
c/o:
. The statute by or under which it was incorporated or the preceding filing was made, in the case of a filing that
3
does not constitute a pat of the articles of incorporation of a corporation is:
The inaccuracy or defect, which appears in Department of State form
filed on
4.
and recorded in Roll and Film Number
et seq., is: