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Certificate Of Amendment Of Certificate Of Surrender Of Authority (Foreign Not-For-Profit) DOS-1916 - New York

Certificate Of Amendment Of Certificate Of Surrender Of Authority (Foreign Not-For-Profit) Form. This is a New York form and can be used in Not For Profit Corporations And Business Entities Secretary Of State .
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New York State Department of State Division of Corporations, State Records and Uniform Commercial Code One Commerce Plaza, 99 Washington Avenue Albany, NY 12231 CERTIFICATE OF AMENDMENT OF CERTIFICATE OF SURRENDER OF AUTHORITY OF (Insert Name of Foreign Corporation) Under Section 1311 of the Not-for-Profit Corporation Law FIRST: The name of the corporation is: The fictitious name the corporation has agreed to use in New York State, if applicable, is: SECOND: The jurisdiction of incorporation of the corporation is: THIRD: The date the certificate of surrender of authority was filed with the Department of State is: FOURTH: The changed address to which the Secretary of State shall mail a copy of any process against it served upon him is: (Signature) (Name of Signer) Title of Signer) DOS-1916-f-l (Rev. 09/10) Page 1 of 2 CERTIFICATE OF AMENDMENT OF CERTIFICATE OF SURRENDER OF AUTHORITY OF (Insert Name of Foreign Corporation) Under Section 1311 of the Not-for-Profit Corporation Law Filer's Name Address City, State and Zip Code NOTES: Note: This form was prepared by the New York Department of State. You are not required to use this form. You may draft your own form or use forms available at legal stationery stores. The Department of State recommends that all documents be prepared under the guidance of an attorney. The certificate must be submitted with a $30 filing fee, made payable to the Department of State. For Office Use Only DOS-1916-f-l (Rev. 09/10) Page 2 of 2
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