Form Cd-3 - West Virginia Articles Of Incorporation Non-Profit Amendment - 2013
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2.
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Natalie E. Tennant
Penney Barker, Manager
Secretary of State
Corporations Division
1900 Kanawha Blvd E
Tel: (304)558-8000
Bldg 1, Suite 157-K
Fax: (304)558-8381
Charleston, WV 25305
Website:
E-mail:
WEST VIRGINIA
FILE ONE ORIGINAL
Office Hours: Monday – Friday
8:30 a.m. – 5:00 p.m. ET
(Two if you want a filed
ARTICLES OF INCORPORATION
stamped copy returned to you)
NON-PROFIT AMENDMENT
FEE: $25.00
The name of the corporation is:
1.
___________________________________________________________
The date of the adoption of the amendment(s):
2.
________________________________________________
In the manner prescribed by the WV Code §31E-10-1005, the members/board of directors have
3.
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 this application)
Check and complete the applicable statement:
4.
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 _______________
amendment was adopted by a majority of the directors in office.
Contact name and number of person to reach in case of problem with filing: (Optional, however,
5.
listing one may help to avoid a return or rejection of filing if there appears to be a problem with the
document)
Name:
Phone:
__________________________________________
________________________________
Business e-mail address, if any:
____________________________________________________________
Signature of one of the officers or chairman of the board of directors of the corporation (See
6.
below *Important Legal Notice Regarding Signature):
_________________________________________________________
____________________________
Signature
Date
________________________________
Capacity in which he/she is signing
(example: President, Chairman, etc.)
*Important Legal Notice Regarding Signature: Per West Virginia Code §31D-1-129. Penalty for signing false document.
Any person who signs a document he or she knows is false in any material respect and knows that the document is to be delivered
to the secretary of state for filing is guilty of a misdemeanor and, upon conviction thereof, shall be fined not more than one
thousand dollars or confined in the county or regional jail not more than one year, or both.
Form CD-3
Issued by the Office of the Secretary of State
Revised 5/13
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