Amended Application For Certificate Of Authority {565}

CSCL/CD-56() Date Rec e i v ed (FOR BUREAU USE ON L Y ) This document is effective on the date filed,unless a subsequent effective date within 90 days after received date is stated in the document. Name EFF E C T I V E DATE: Address City St ate Zip code Document will be returned to the name and address you enter above AMENDED APPLICATION FOR CERTIFICATE OF AUTHORITY TO IN MICHIGAN Foruse by Foreign Corporations(Please read information and instructions on the last page) Pursuant to the provisions of Act , Public Acts of 19, the undersigned corporation executes the followingAmended Application: The name of the corporation is:If the name in Item 1was not available for use in Michigan, thename adopted when obtaining theCertificateof Authority is: The identification number assigned by the Bureau is: It is incorporated under the laws of The corporation was authorized to in Michigan on The period of its duration (corporation term) is . . . If the name of the corporation has changed, its new name is: and the the effective date of the name change was the day of name change was made in compliance with the laws of the jurisdiction of its incorporation. Complete this Item only if the new name in Item is not available for use in Michigan. The assumed name of thecorporation to be used in all its dealings with the Bureau and in the transaction of its business in Michigan is: If the assumed name in Item 2 has change d , the new name is: . . . . . . American LegalNet, Inc. www.FormsWorkFlow.com 1. The name of the resident agent at the registered office is: The address of its registered office in Michigan is: (Zip Code) The mailing address of the registered office in Michigan, if different than above, is: (Zip Code) The resident agent is an agent of the corporation upon whom process against the corporation may be served. 1. The address of the main business or headquarters office of the corporation is: (Street Address) (City) (State) (Zip Code) The mailing address if different than above is: (Street Address or P.O. Box) (City) (State) (Zip Code) 1. If the the foreign corporation proposes toin this State is to be enlarged, limited, orotherwisechanged, the specific which the corporation is to in Michigan is as follows: The corporation is authorized to conduct such affairs in the jurisdiction of its incorporation. Signed this day of By (Signature of Authorized Officer or Agent) (Type or Print Name) MichiganMichigan () () () () American LegalNet, Inc. www.FormsWorkFlow.com CSCL/CD-56 (Rev. ) : INFORMATION AND INSTRUCTIONS 1. This amended application must be used to amend the Application for Certificate of Authority to in Michigan. A document required or permitted to be filed under the act cannot be filed unless it contains the minimum infomation required by the act. This is a legal document and agency staff cannot provide legal advice. 2.Submit one original of this document. Upon filing, the document will be added to the records of the Corporations,Securities & Commercial Licensing Bureau. The original will be returned to your registered office address, unlessyou enter a different address on the front of this document. Since this document will be maintained on electronic format, it is important that the filing be legible. Documents withpoor black and white contrast, or otherwise illegible, will be rejected. 3. This document is to be used pursuant to section 1021 of the Act by foreign profit corporations having a certif icateofauthority to in this State where the information contained in its original or last amended applicationhas changed. This amended application must be filed no later than 30 days after the time the change becomeseffective in the jur isdiction of its incorporation. . Item 1- This item should state only the specific a to be conducted in Michigan. An all purpose activitiesstatementis not permitted. Foreign corporations can only that a domestic corporation formedunderthe Corporation Act can lawfully transact. . The document is effective on the date endorsed "filed" by the Bureau. A later effective date, no more than 90 days after the date of delivery may be stated. 7.This amended application must be signed by an authorized officer or agent of the corporation. 8. FEES: Make remittance payable to the State of Michigan. Include corporation name and identification number oncheck or money order. NONREFUNDABLE FEE.............................................................................................................................................$10.00 To submit by mail: To submit in person: Department of Licensing and Regulatory Affairs Corporations,Securities & Commercial Licensing Bureau P.O. Box 30054 Lansing, Ml 48909 2501 Woodlake Circle Okemos, Ml Telephone : (517) 241-6470 Fees may be paid by VISAMasterardwhen delivered in person to our office. LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities. : American LegalNet, Inc. www.FormsWorkFlow.com