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Matt Blunt, Secretary of State
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Corporations Division
P.O. Box 778 / 600 W. Main Street, Rm 322
Jefferson City, MO 65102
Statement of Correction for
Limited Liability Company
(Submit in duplicate with filing fee of $25)
1.
The name of the limited liability company is:
____________________________________________________________________________________________________
2.
The jurisdiction under whose laws it was organized is:
____________________________________________________________________________________________________
3.
Type of document being corrected (or filed copy thereof attached):
____________________________________________________________________________________________________
____________________________________________________________________________________________________
4.
The error to be corrected is:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
5.
The reason for such correction is:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
6.
Date the original document was filed with the Missouri Secretary of State: ________________________________________
Month/Day/Year
In affirmation thereof, the facts stated above are true:
____________________________________________________________________________________________________________
(Authorized Signature)
(Printed Name)
(Date)
____________________________________________________________________________________________________________
(Authorized Signature)
(Printed Name)
(Date)
____________________________________________________________________________________________________________
(Authorized Signature)
(Printed Name)
(Date)
LLC-7 (12/02)