Form Amd - Articles Of Amendment (Domestic Profit Or Professional Services Corporation) - 2012
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1
2C
K
OMMONWEALTH OF
ENTUCKY
A
L
G
, S
S
LISON
UNDERGAN
RIMES
ECRETARY OF
TATE
_________________________________________________________________________________________________________________________
Division of Business Filings
Articles of Amendment
AMD
Business Filings
(Domestic Profit or Professional Services Corporation)
PO Box 718
Frankfort, KY 40602
(502) 564-3490
__________________________________________________________________________________________
Pursuant to the provisions of KRS 14A and KRS 271B, the undersigned applies to amend articles of incorporation, and for
that purpose, submits the following statements:
1. Name of the corporation on record with the Office of the Secretary of State is
________________________________________________________________________________________________.
(The name must be identical to the name on record with the Secretary of State.)
2. The text of each amendment adopted: _______________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
3. If the amendment provides for an exchange, reclassification, or cancellation of issued shares, provisions for
implementing the amendment, if not contained in the amendment itself, are as follows:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
4. The date of adoption of each amendment was as follows: ________________________________________________
5. Check the option that applies (check only one option):
The amendment(s) was (were) duly adopted by the incorporators prior to issuance of shares.
The amendment(s) was (were) duly adopted by the board of directors prior to issuance of shares.
The amendment(s) was (were) duly adopted by the incorporators or board of director without shareholder
action as shareholder action was not required.
If the amendment(s) was (were) duly adopted by the shareholders, the:
a) ____Number of outstanding shares.
b) ____Number of votes entitled to be cast by each voting group entitled to vote separately on the
amendment
c) ____Number of votes of each voting group indisputably represented at the meeting.
d) ____The total number of votes in favor of the amendment.
e) ____The number of votes against the amendment.
f)
____The number of votes cast for the amendment by each voting group was sufficient.
6. This application will be effective upon filing, unless a delayed effective date and/or time is provided. The effective date
or the delayed effective cannot be prior to the date the application is filed. The date and/or time is__________________.
(Delayed effective date
and/or time)
I declare under penalty of perjury under the laws of Kentucky that the forgoing is true and correct.
_________________________________________ ________________________ ___________ ____________
Signature of Officer or Chairman of the Board
Printed Name
Title
Date
(01/12)
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