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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