Form 635_0103 - Application For Amended Certificate Of Authority - Nonprofit
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1
2APPLICATION FOR
MATT SCHULTZ
AMENDED
Secretary of State
CERTIFICATE OF AUTHORITY
State of Iowa
(Nonprofit)
TO THE SECRETARY OF STATE OF THE STATE OF IOWA:
Pursuant to section 1504 of the Revised Iowa Nonprofit Corporation Act, the undersigned corporation applies to
amend its certificate of authority to transact business in Iowa, and states:
1. The name of the corporation is _____________________________________________________________
and the name the corporation uses in Iowa if different than its real name is:
_____________________________________________________________________________________
[If applicable] The name the corporation has been changed to is:
_____________________________________________________________________________________
2. The corporation is incorporated under the laws of the state [or foreign country] of ______________________
3. The date of incorporation of the corporation was ________________________________________________
4. The duration of the corporation is ___________________________________________________________
5. The street address of its principal office is
Address _______________________________________________________________________________
City, State, Zip _________________________________________________________________________
6. The street address of its registered office in Iowa and the name of its registered agent at that office
Name ________________________________________________________________________________
Address _______________________________________________________________________________
City, State, Zip _________________________________________________________________________
7. Check one:
The corporation has members.
The corporation has no members.
8. The names and usual business or home addresses of its current directors and officers
Name ________________________________________________________________________________
Address _______________________________________________________________________________
City, State, Zip _________________________________________________________________________
Name ________________________________________________________________________________
Address _______________________________________________________________________________
City, State, Zip _________________________________________________________________________
635_0103
01/11 7
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