AMENDED CERTIFICATE OF ORGANIZATION
LIMITED LIABILITY COMPANY
Submit in Duplicate
John A. Gale, Secretary of State
Room 1301 State Capitol, P.O. Box 94608
Lincoln, NE 68509
(402) 471-4079
Name of Limited Liability Company__________________________________________
________________________________________________________________________
Date Certificate of Organization was filed ______________________________________
Please check the item or items that are being amended and provide the appropriate
information as changed by the amendment:
____ Name of Limited Liability Company ____________________________________
________________________________________________________________________
____ Professional Service being rendered by the Limited Liability Company
_________________________________________________________________________
____ Street and mailing address of the Designated Office
________________________________________________________________________
____ Name of Registered Agent _____________________________________________
____ Street, mailing address and post office box (if any) of Registered Agent
________________________________________________________________________
(attach additional pages if needed)
Effective date if other than the date filed _____________
DATED _______________________
___________________________________ ___________________________________
Signature of Authorized Representative
Printed Name of Authorized Representative
FILING FEE: $15.00 plus $5.00 per additional page
January 2011
Neb. Rev. Stat. 21-118