Application For An Amended Certificate Of Authority By A Foreign Corporation To Transact Business In South Carolina - South Carolina Secretary Of State

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STATE OF SOUTH CAROLINA
SECRETARY OF STATE
APPLICATION FOR AN AMENDED CERTIFICATE
OF AUTHORITY BY A FOREIGN CORPORATION
TO TRANSACT BUSINESS IN SOUTH CAROLINA
TYPE OR PRINT CLEARLY WITH BLACK INK
Pursuant to Section 33-15-104 of the 1976 South Carolina Code of Laws, as amended, the undersigned
corporation hereby applies for an amended certificate of authority to transact business in the State of
South Carolina and for that purpose submits the following statement:
1.
The name of the corporation is
1a.
The above named corporation received a Certificate of Authority to transact business in South
Carolina on
.
2.
This application is filed for the following reason (complete all applicable items):
[ ] a. The corporation has changed its corporate name as follows
[ ] b. The corporation has changed its duration to
[ ] c. The corporation has changed the state or country of its incorporation to
3.
The name of the corporation for the purpose of transacting business in South Carolina is (See
Sections 33-4-101 and 33-15-106) and see Section 33-19-500(b)(1) if the corporation is a
professional corporation
4.
It is incorporated as (check applicable item) [ ] a general business corporation, [ ] a professional
corporation under the laws of the state of
5.
The date of its incorporation is
and the period of its duration is
6.
The address of the principal office of the corporation in the jurisdiction of its incorporation is
in the city of
Street Address
and the state of
.
Zip Code
7.
The address of the registered office in the state of South Carolina is
Street Address
in the city of
, South Carolina
Zip Code
8.
The name of the registered agent in this state at such address is
9.
The name and usual business address of the corporation's directors (if the corporation has no
directors, then the name and address of those persons who are exercising the statutory authority
of directors on behalf of the corporation) and principal officers:

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