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Massachusetts Corporation Amendment Form

In the case of a corporation wanting to edit information already submitted to the Secretary of the Commonwealth in the State of Massachusetts, the Massachusetts Corporation Amendment Form has to be completed and submitted along with a $100 filing fee.

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FORM MUST BE TYPEDFORM MUST BE TYPED	
The Commonwealth of Massachusetts	
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512	
c156ds1006950c11334 01/13/05	P.C.
D
PC	
Articles of Amendment	
(General Laws Chapter 156D, Section 10.06; 950 CMR 113.34)	
(1) Exact name of corporation: ____________________________________________________________________________
(2) Registered offi  ce address: ______________________________________________________________________________
  (number, street, city or town, state, zip code)
(3) Th  ese articles of amendment aff ect article(s):  ______________________________________________________________
  (specify the number(s) of article(s) being amended (I-VI))
(4) Date adopted: ______________________________________________________________________________________
  (month, day, year)
(5) Approved by: (check appropriate box)
®  the incorporators.
®  the board of directors without shareholder approval and shareholder approval was not required.
®  the board of directors and the shareholders in the manner required by law and the articles of organization.
(6) S	
 tate the article number and the text of the amendment.  Unless contained in the text of the amendment, state the provisions 
for implementing the exchange, reclassifi cation or cancellation of issued shares.

To change the number of shares and the par value, * if any, of any type, or to designate a class or series, of stock, or change a designation of 
class or series of stock, which the corporation is authorized to issue, complete the following:
Total authorized prior to amendment:	
WITHOUT PAR VALUE	WITH PAR VALUE	
TYPE	NUMBER OF SHARES	TYPE	NUMBER OF SHARES	PAR VALUE	
Total authorized after amendment:	
WITHOUT PAR VALUE	WITH PAR VALUE	
TYPE	NUMBER OF SHARES	TYPE	NUMBER OF SHARES	PAR VALUE	
(7) Th  e amendment shall be eff ective at the time and on the date approved by the Division, unless a later eff ective date not more than 90 days from the date and time of fi ling is specifi ed:  ___________________________________________________________
*G.L. Chapter 156D eliminates the concept of par value, however a corporation may specify par value in Article III. See G.L. Chapter 156D, 
Section 6.21, and the comments relative thereto.

Signed by:  ___________________________________________________________________________________________ ,
  (signatur	
e of authorized individual)
®  Chairman of the board of directors,
®  President,
®  Other offi  cer,
®  Court-appointed fi duciary,
on this  _________________________ day of_________________________________________ ,  _____________________ .

Examiner
Name approval
C
M	
COMMONWEALTH OF MASSACHUSETTS	
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Articles of Amendment	
(General Laws Chapter 156D, Section 10.06; 950 CMR 113.34)	
I  hereby  certify  that  upon  examination  of  these  articles  of  amendment,  it  ap-
pears  that  the  provisions  of  the  General  Laws  relative  thereto  have  been  complied 
with,  and  the  fi ling  fee  in  the  amount  of  $______  having  been  paid,  said  ar-
ticles are deemed to have been fi led with me this  _______ day of _____________ , 
20_____ , at  _______a.m./p	
 .m.
  time
Eff ective date: _________________________________________________	
(must be within 90 days of date submitted)
WILLIAM FRANCIS GALVIN	
Secretary of the Commonwealth
Filing  fee:    Minimum  fi ling  fee  $100  per  article  amended,  stock  increases  $100 
per  100,000  shares,  plus  $100  for  each  additional  100,000  shares  or  any  fraction 
thereof.	
TO BE FILLED IN BY CORPORATION	
Contact Information:
___________________________________________________________
___________________________________________________________
___________________________________________________________
T	

elephone: ___________________________________________________
Email:  ______________________________________________________
Upon  fi ling,  a  copy  of  this  fi ling  will  be  available  at  www.sec.state.ma.us/cor.
If the document is rejected, a copy of the rejection sheet and rejected document will 
be available in the rejected queue.
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