Form Amd - Articles Of Amendment (Domestic Profit Or Professional Services Corporation) - 2012 Page 2

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FILING INSTRUCTIONS
ARTICLES OF AMENDMENT FOR A DOMESTIC PROFIT CORPORATION
NAME
Use the exact name of the business entity as registered on file with the Office of the Secretary of State.
TEXT OF AMENDMENT
The amendment must contain the text of the amendment (ie: change of corporate name, duration, to increase, decrease the number of shares, etc.)
EXCHANGE OR RECLASSIFICATION
If the amendment provides for any type of share change that is not provided in the amendment, provide the manner for implementing the change. If not
applicable, indicate none or n/a in the space provided.
DATE
The date the amendment was adopted must be provided.
AMENDMENT ADOPTION
Select the appropriate method of adoption for the amendment.
EFFECTIVE DATE AND TIME
The document will be effective on the date and time of filing, unless a delayed effective date and/or time is specified. The effective date or the delayed
th
effective date cannot be prior to the date the application is filed. A delayed effective date may not be later than the 90
day after the date of filing.
WHO MAY SIGN
The document must be signed by an officer or chairman of the board.
PRINCIPAL OFFICE ADDRESS
The principal office is the office (in or out of this state) so designated in writing with the Office of the Secretary of State where the principal designated
office of the business entity is located. This address is where all correspondence from the Office of the Secretary of State (See Document Delivery) will
be submitted.
DOCUMENT DELIVERY
A file stamped postcard will be sent to the principal office address. If the applicant wishes for the document to be sent to an alternate address other than
the principal office, a request must be submitted in writing affirming that request. Alternate address requests must be submitted with each document
filed with the Office of the Secretary of State.
ADDITIONAL ARTICLES OR NEED TO MODIFY THE EXISTING FORM
If this form does not comply with what you wish to file (ie: additional articles, signatures, etc.), please disregard this form and send a drafted executed
copy of the document according to the KRS statute noted on the form to the address below.
NUMBER OF COPIES
If filing via mail or in person, one exact or conformed copy of the documents with the filing fee must be submitted to the address below. To make a copy
of the filing for delivery to the local county clerk’s office, visit and print a copy from the organization search tool.
FILING FEE
The filing fee for this document is $40.00. Checks should be made payable to the "Kentucky State Treasurer."
If you are increasing your shares, the following formula should be utilized:
1. Articles of Amendment
$40.00
2. Organization Tax Fee for 1,000 shares or less
+$10.00
Total Filing Fee $50.00
KRS 136.060 requires every corporation to pay an organization tax based upon the number of shares authorized by the articles of incorporation. The
minimum organization tax fee for one thousand (1,000) shares or less is $10.00. If the corporation is issuing more than 1,000 shares, please contact the
Office of the Secretary of State for total filing fee due.
SHARES
The articles of amendment shall prescribe the classes of shares and the number of shares of each class the corporation is authorized to issue. If there
is more than one class of shares, please do not use form, as articles must set forth a distinguishing designation for each class, and the preferences,
limitations and relative rights.
MAILING ADDRESS
OFFICE LOCATION
Alison Lundergan Grimes
Room 154, Capitol Building
Office of the Secretary of State
700 Capital Avenue
PO Box 718
Frankfort, KY 40601
Frankfort, KY 40602-0718
Hours of Operation: 8:00 AM-4:30 PM ET
CONTACT INFORMATION
If you have any questions, please feel free to visit our website at or call 502-564-3490.
FUTURE DOCUMENTATION REQUIREMENTS AND DEADLINES
The business entity must file an annual report with the Secretary of State between January 1 and June 30 of the year following the calendar year in
which the corporation was formed. Subsequent annual reports must be filed with the Secretary of State between January 1 and June 30 of the following
calendar years. A statement of change of the registered agent and/or registered office address or principal office address must be filed with the
Secretary of State whenever a change has occurred involving any of the above categories. Downloadable forms may be found on our website.
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