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Robin Carnahan, Secretary of State
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Corporations Division
P.O. Box 778 / 600 W. Main Street, Rm 322
Jefferson City, MO 65102
Amendment of a
Foreign Limited Liability Company
(Submit with filing fee of $25.00)
1.
The name of the foreign limited liability company is ______________________________________________________________
_________________________________________________________________________________________________________
2.
The foreign limited liability company was formed under the laws of ____________________________________ on the date of
(State of jurisdiction)
_______________________.
(month/day/year)
3.
The foreign limited liability company’s certificate of registration is hereby amended as follows:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
4.
The effective date of this document is the date it is filed by the Secretary of State of Missouri, unless a future date is indicated as
follows: ________________________________.
(month/day/year)
5.
The amendment shall include a certificate of existence or document of similar import duly authenticated by the secretary of state
or other official having custody of the records in the state or country under whose laws it is registered. Such document should be
dated within sixty calendar days from the filing for acceptance.
In Affirmation thereof, the facts stated above are true and correct:
(The undersigned understands that false statements made in this filing are subject to the penalties provided under Section 575.040, RSMo)
_______________________________________________________________________________________________________________
Authorized Signature
Printed Name
Title
Date
Name and address to return filed document:
Name: __________________________________________
Address: _________________________________________
City, State, and Zip Code: __________________________
LLC- 14 (01/05)