COMPLETE, PRINT, SIGN, AND MAIL OR FAX (If paying with credit card, complete Credit Card Payment Authorization)
FOR OFFICE USE ONLY
NONPROFIT CORPORATION
ID Number
ARTICLES OF AMENDMENT
SECRETARY OF STATE
Work Order Number
SFN 13012 (2-2013)
Filed
By
1. FILING FEE $20.00
TYPE OR PRINT LEGIBLY
SEE INSTRUCTIONS FOR FEES, FILING AND MAILING INFORMATION
2. Name of the Corporation as Reflected in the Articles of Incorporation or Last Amendment Filed with the Secretary of State
3. Federal ID Number
4. Telephone Number
5. Toll-free Telephone Number
6. Complete Mailing Address of the Corporation's Principal Executive Office (Street/RR, PO Box, City, State, ZIP+4) May not be only a post office box.
7. The following amendment has been adopted pursuant to the provisions of the North Dakota Nonprofit Corporation Act, N.D.C.C. Chapter 10-33
8. The amendment shall be effective
(check one)
(must be within 90 days after filing with
When filed with the Secretary of State
Later on
Secretary of State)
(month, day, year)
9. The amendment was adopted on by one of the following methods: (check the appropriate method and complete the statement as necessary)
Voting members adopted the amendment:
At a meeting held on
at which a quorum was present and the amendment received at least two thirds
(month, day, year)
of the votes cast by members present at the meeting and entitled to vote, or by proxy; OR
By a consent in writing signed by all members entitled to vote
OR
There being no voting members, a majority of directors in office adopted the amendment at a meeting held on
(month, day, year)
10.
"The undersigned, a person authorized by the corporation to sign this amendment:
Has read the foregoing Articles of Amendment, knows the contents thereof, and believes the statements made thereon to be true.
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Authorizes the Secretary of State to correct numbers 2 and 7 if not correctly reflected as explained in the instructions.
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Understands that if I make a false statement in this document, I may be subject to criminal penalties."
Signature
Date
Daytime Telephone Number and Extension,
11. Name of Person to Contact About This Document
E-mail Address
if any