Form Amdrst_pc Sample - Amended And Restated Articles Of Incorporation printable pdf download

Form must be filed electronically.

Paper forms are not accepted.

This copy is a sample and cannot be submitted for filing.

Amended and Restated Articles of Incorporation

filed pursuant to §7-90-301, et seq. and §7-110-107 and §7-90-304.5 of the Colorado Revised Statutes (C.R.S.)

1. For the entity, its ID number and entity name are

ID number

_________________________

(Colorado Secretary of State ID number)

Entity name

______________________________________________________.

2. The new entity name (if applicable) is ______________________________________________________.

3. The amended and restated constituent filed document is attached.

4. If the amendment provides for an exchange, reclassification or cancellation of issued shares, the

attachment states the provisions for implementing the amendment.

(Caution: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has significant legal

consequences. Read instructions before entering a date.)

(If the following statement applies, adopt the statement by entering a date and, if applicable, time using the required format.)

The delayed effective date and, if applicable, time of this document is/are ________________________.

(mm/dd/yyyy hour:minute am/pm)

Notice:

Causing this document to be delivered to the Secretary of State for filing shall constitute the affirmation or

acknowledgment of each individual causing such delivery, under penalties of perjury, that such document is such

individual's act and deed, or that such individual in good faith believes such document is the act and deed of the

person on whose behalf such individual is causing such document to be delivered for filing, taken in conformity with

the requirements of part 3 of article 90 of title 7, C.R.S. and, if applicable, the constituent documents and the organic

statutes, and that such individual in good faith believes the facts stated in such document are true and such document

complies with the requirements of that Part, the constituent documents, and the organic statutes.

This perjury notice applies to each individual who causes this document to be delivered to the Secretary of State,

whether or not such individual is identified in this document as one who has caused it to be delivered.

6. The true name and mailing

address of the individual causing

the document to be delivered for

filing are

____________________ ______________ ______________ _____

(Last)

(First)

(Middle)

(Suffix)

______________________________________________________

(Street name and number or Post Office Box information)

______________________________________________________

__________________________ ____ ____________________

(City)

(State)

(Postal/Zip Code)

_______________________ ______________

(Province – if applicable)

(Country – if not US)

AMDRST_PC

Page 1 of 2

Rev. 12/16/2016

Form Amdrst_pc Sample - Amended And Restated Articles Of Incorporation

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