Joe Manchin, III
Penney Barker, Team Leader
Secretary of State
Corporations Division
State Capitol Bldg.
Tel. (304) 558-8000
1900 Kanawha Blvd. East
Hrs. 8:30am – 5:00pm ET
Charleston, WV 25305
WV ARTICLES OF INCORPORATION
File One Original. Fee $25
NON- PROFIT AMENDMENT
(If you want a copy returned send an
additional copy along with your original
application)
FIRST:
The present name of the corporation is: ______________________________________________
______________________________________________
SECOND:
The date of the adoption of the amendment(s): _________________________________________
THIRD:
In the manner prescribed by the WV Code Chapter 31D, Article 10, Section 1005, the members/board of
directors have adopted the following amendment(s) to the Articles of Incorporation:
Statement required by the IRS to be included in Articles of Incorporation, Restatement or
Amendment for 501(c)(3) status approval (attached)
Change of name to: _____________________________________________________
Other (attach amendments to form)
FOURTH:
Check and complete the applicable statement:
At a meeting held on ______________, a quorum of the members entitled to vote on the
amendment were present and the amendment was adopted by a majority of members present
The amendment was adopted by consent in writing signed by all members entitled to vote on the
amendment.
No members were entitled to vote on the amendment. At a meeting held on __________, the
amendment was adopted by a majority of the directors in office.
FIFTH:
Articles of amendment prepared by:
(name) _____________________________________
(address) ____________________________________
(phone #) ____________________________________
SIXTH:
Signature of one of the officers or chairman of the board of directors of the corporation:
______________________ ___________________________
___________________
Print Name
Signature
Title or Capacity
PRINT THIS COPY, THEN CLICK HERE TO RESET.
Form CD-3
Issued by the Secretary of State, State Capitol, Charleston
Revised 10/02