Massachusetts Corporation Articles of Incorporation Article VIII Change Form

The Massachusetts Corporation Articles of Incorporation Article VIII Change Form is also referred to as the Statement of Change of Supplemental Information. The mentioned form can be downloaded here.

Extracted Text for Proper Search

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	
c156ds202s845950c11317 	01/13/05	P.C.
D
PC	
Statement of Change of Supplemental 
Information Contained in Article 	
VIII  of Articles of Organization	 	
(General Laws Chapter 156D, Section 2.02 and Section 8.45; 950 CMR 113.17)	
(1)  Exact name of the corporation:  ________________________________________________________________________
(2)  Current registered offi  ce address:  _______________________________________________________________________
  (number, street, city or town, state, zip code)
(3)  Th  e following supplemental information has changed:	
(check appropriate box)
® Names and addresses of the directors, president, treasurer and secretary (an address need not be specifi ed if the business  address of the offi  cer or director is the same as the principal offi  ce location):
President:
Treasurer:
Secretary:
Director(s):
® Fiscal year end:  ________________________________________________________________________________
  (month, day)
® Principal offi  ce address:  __________________________________________________________________________
  (number, street. city or town, state, zip code)
® Type of business in which the corporation intends to engage:
  ____________________________________________________________________________________________
® Other:
  ____________________________________________________________________________________________
Th  is certifi cate is 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 of fi ling is specifi ed:  _________________________________________________________________________

Signed by:  ___________________________________________________________________________________________	,
  (signature of authorized individual)	
®  Chairman of the board of directors,
®  President,
®  Other offi  cer,
®  Court-appointed fi duciary,	
on this	  ___________________________________	day of	 ______________________________	day of	 ______________________________	day of	, ______________________	.

COMMONWEALTH OF MASSACHUSETTS	
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512	
Statement of Change of Supplemental  Information Contained in Article 	
VIII  of Articles of Organization	 	
(General Laws Chapter 156D, Section 2.02 and 
Section 8.45; 950 CMR 113.17)	
I hereby certify that upon examination of this statement of change, duly submit-
ted to me, it appears that the provisions of the General Laws relative thereto have 
been complied with, and I hereby approve said statement; and the fi ling fee in the 
amount of $ ______________________________________________________
having been paid, said articles 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; $25 for paper or fax fi ling. No Fee if fi led electronically.	
TO BE FILLED IN BY CORPORATION	
Contact Information:	
___________________________________________________________
___________________________________________________________
___________________________________________________________
Telephone: ___________________________________________________
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.	
Examiner