Kentucky Domestic Non Profit Corporation Amendment Form

In the case of a domestic non-profit corporation wanting to make modifications to documents that have already been submitted to the Secretary of State’s office in the State of Kentucky, the following form has to be completed and submitted along with a $8 filing fee.

Extracted Text for Proper Search

(01/12	) 	
 	
 	
C	OMMONWEALTH OF 	K	ENTUCKY	 	
ALISON 	LUNDERGAN 	G	RIMES	, SECRETARY OF 	STATE	  	
____________________________________________________________________________________________	_____________________________	 	
Division of 	Business Filings	 	
Business Filings	 	
PO Box 718	 	
Fra	nkfort, KY 40602	 	
(502) 564	-3490	 	
www.sos.ky.gov	 	
____________________________________________________________	_____________________________	 	
 
Pursuant to the provisions of 	KRS 14A and 	KR	S Chapter 273, the undersigned applies to amend articles 	and	, for that 	
pur	pose	, submits the following statements:	 	
 
1. 	The n	ame of the 	corporation o	n record with the Office of the Secretary of State	 is: 	
 
_________________________________________________	__________	______________________________________	 	(The n	ame must be identical t	o the name on record with the Secretary of State.)	 	
 
2.  The text of each amendment adopted: _________________________	_________	_____________________________	 	
 
___________________________________________________________________	__________	____________________	 	
 
_____________________________________________________________________________	__________	__________	 	
 
_______________________________________________________________________________________	__________	 	
 
__________________________________________________________	_____________________________	__________	 	
 
 
3. The	 date of adoption of each amendment was 	___________________	______________________________________	. 	
 
4. Check either a, b or c	 (whichever is applicable)	: 	
 	
a. ______ The amendment(s) was (were) duly adopted by 	a q	uorum present at such meeting and that such	 	
ame	ndment received at least two	-thirds (2/3) of the votes which members present at such meeting or represented 	
by proxy were entitled to cast.	 	
b. ______ The amendment(s) was (were) duly adopted	 by consent in writing	 and was (were) 	signed by all members 	
entitled to vote with respect thereto.	 	
c. 	______ The amendment(s) was (were) duly adopted by the 	board of directors and such amendment	(s)	 received 	
the vote of a majority of the directors in office since there are no membe	rs or members	 entitled to vote.	 	
                     	 	
5. This application will be effective upon filing, unless a delayed effective date and/or time	 is provided.  The effective date 	
or the delayed effective 	date 	cannot be prior to the date the application 	is filed.  The date and/or time is	______________.	 	  	 	 	 	 	 	 	 	 	 	 	 	         	(Delayed effective date	 	                                           	 	 	 	 	 	 	 	 	 	 	 	 and/or time	) 	 	
I declare under penalty of perjury under the laws of Kentucky that the forgoing is true and	 correct. 	 	
 
 
__________________	_______________________________ _____________________________ __________________ _____	_____	 	Signature of Officer or Chairman of the Board 	  	 	Printed Name	  	 	  	Title	 	 	 	Date	 	
                                                      	                                                     	  	 	 	                    	 	
 
 	
Articles of Amendment     	 	 	 	 	 	NPA	 	
(Domestic 	Nonp	rofit Corporation	)

(01/12	) 	
 
 	FILING 	INSTRUCTIONS	 	
ARTICLES OF AMENDMEN	T FOR A NONPROFIT CORP	ORATION 	 	
 NAME 	 	The name must be the name of record with the Office of the Secretary of State.	 	 TEXT OF AMENDMENT	 	The corporation may amend its articles of incorporation, from time to time, in any and as many respects as may be desired, so 	long as its articles of 	incorporation as amended contain only such provisions as are lawful under KRS 273.161 to 273.390.	 	 DATE	 	The date the amendment was adopted must be provided.	 	 AMENDMENT ADOPTION	 	Select the appropriate method of adoption for the amendment.	 	 PRINCIPAL OFFICE ADDRESS	 	The principal  office is the office (in or out of this state) so designated in  writing  with the Of	fice of the Secretary of State where the principal  designated 	office of the business entity is located.  This address is where all correspondence from the Office of the Secretary of State	 (See	 Document Delivery) will 	be mailed	.  	
EFFECTIVE DATE AND TIME	 	The	 document will be effective on the date and time of filing, unless a delayed effective date 	and/or time is specified.  The effective date or the delayed 	effective date cannot be prior to the date the application is filed.  A delayed effective date may not 	be later than the 90	th day after the date of filing. 	 	 WHO MAY SIGN	 	The articles of amendment must be signed by an officer or the chairman of the board.	 	 NUMBER OF COPIES	 	If filing via mail or in person, one exact or conformed copy of the documents with th	e filing fee must be submitted to the address below.  To make a copy 	of the filing for delivery to the local county clerk’s office, visit www.sos.ky.gov and print a copy from the organization se	arch tool.	 	 DOCUMENT DELIVERY	 	A file stamped postcard will be 	sent to the principal office address.  If the applicant wishes for the document to be sent to an alternate address other than	 	the principal office, a request must be submitted in writing affirming that request.  Alternate address requests must be subm	itted	 with each document 	filed with the Office of the Secretary of State.   	 	
FILING FEE	 	The filing fee 	is $8	.00. 	Checks	 should be made payable to the "Kentucky State Treasurer."	 	 MAILING ADDRESS	 	 	 	OFFICE LOCATION	 	Alison Lundergan Grimes	 	 	 	Room 154, Capitol Buil	ding	 	Secretary of State	  	 	 	700 Capital Avenue	 	P. O. Box 718	 	 	 	 	Frankfort, KY  40601	 	Frankfort, KY  40602	-0718	 	 	 	Hours of Operation: 8:00 AM	-4:30 PM ET	 	 CONTACT INFORMATION AND NAME AVAILABILITY	 	If you have any questions, need additional forms or wish to se	arch for name availability, please feel free to visit our website at www.sos.ky.gov or call 	(502) 564	-3490.	 	 FUTURE DOCUMENTATION REQUIREMENTS AND DEADLINES	 	The business entity must file an 	annual report	 with the Secretary of State between January 1 and Ju	ne 30 of the year following the calendar year in 	which the corporation was formed.  Subsequent annual reports must be filed with the Secretary of State between January 1 and 	June 30 of the following 	calendar years.   A 	statement of change	 of the registered	 agent and/or registered office address or principal office address must be filed with the 	Secretary of State whenever a change has occurred involving any of the above categories.  Downloadable forms may be found on 	our website.