Form Dscb:15-8622/8822 - Certificate Of Amendment
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4PENNSYLVANIA DEPARTMENT OF STATE
BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS
Return document by mail to:
Name
Address
City
State
Zip Code
Return document by email to:
_________________________________
Read all instructions prior to completing. This form may be submitted online at https://
Fee: $70
Check one:
Limited Partnership (§ 8622)
Limited Liability Company (§ 8822)
In compliance with the requirements of the applicable provisions (relating to Amendment or Restatement of
Certificate), the undersigned, desiring to amend or restate its Certificate of Limited Partnership/Certificate of
Organization, hereby certifies that:
1. The name of the limited partnership/limited liability company is: ___________________________________________
2. The date of filing of the original Certificate of Limited Partnership/Certificate of Organization is:
__________________________
Date (MM/DD/YYYY)
3. The current registered office address as on file with the Department of State. Complete part (a) OR (b) – not both:
(a) _________________________________________________________________________________________________
Number and street
City
State
Zip
County
(b) c/o: ______________________________________________________________________________________________
Name of Commercial Registered Office Provider
County
4. Check, and if appropriate complete, one of the following:
The amendment adopted by the limited partnership/limited liability company, set forth in full, is as follows:
________________________________________________________________________________________________
________________________________________________________________________________________________
The amendment adopted by the limited partnership/limited liability company is set forth in full in Exhibit A
attached hereto and made a part hereof.
5. Effective date of amendment (check, and if appropriate complete, one of the following):
The amendment shall be effective upon filing this Certificate of Amendment in the Department of State.
The amendment shall be effective on:
at ______________________.
Date (MM/DD/YYYY)
Hour (if any)
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