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Mississippi Foreign Corporation Articles of Incorporation Amendment Form

In the case of a foreign corporation wanting to become registered to conduct business operations in the State of Mississippi, the following form has to be completed and submitted.

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F0030 - Page 1 of 1	 	OFFICE OF THE MISSISSIPPI SECRETARY OF STATE	 
P.O. BOX 136, JACKSON, MS 39205-0136     (601) 359-1333	
 	 
  Application for Amended Certificate of Authority 
For Foreign Corporations 	
 
 	The undersigned, pursuant to Section 79-4-15.04 (if a profit corporation) or Section 79-11-369 (if a nonprofit 
corporation) of the Mississippi Code of 1972, hereby executes the following document and sets forth: 	
 	
1. Type of Corporation 	
�	 	 	Profit 	 	Nonprofit	 	
 	2. Name of the Corporation 	
 
�	 	 	
  	3. The Name of the Corporation is changed to	
 
�	 	 	
 
�	 	
4. The future effective date is  
  (Complete if applicable)  	 	
  	5. The state or country of its incorporation is changed to	
 
�	 	 	
 
�	 	6. The period of duration is changed to    	 	
  	By: Signature 	 	(Please keep writing within blocks) 	
 	 	 	
 	 	 	
 	  	 	
  	           Printed Name 	 	Title 	 	
 
Rev. 01/96
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