Certificate Amending Application For Certificate Of Authority (Foreign LLC) {762}

CSCL/CD-762 (Rev. ) MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRSCORPORATIONS, SECURITIES & COMMERCIAL LICENSING BUREAU Date Received This document is effective on the date filed, unless asubsequent effective date within 90 days after receiveddate is stated in the document.EFFECTIVE DATE: NameAddressCityStateZIP Code Document will be returned to the name and address you enter above.If left blank, document will be returned to the registered office. CERTIFICATE AMENDING APPLICATION FOR CERTIFICATE OFAUTHORITY TO TRANSACT BUSINESS IN MICHIGANFor use by Foreign Limited Liability Companies(Please read information and instructions on the last page)Pursuant to the provisions of Act 23, Public Acts of 1993, the undersigned limited liability company executes the followingCertificate: 1.The present name of the limited liability company is:3.The identification number assigned by the Bureau is: 4.It is organized under the laws of 6.The duration of the limited liability if other than perpetual is: 9.If the assumed name in Item 2 has changed, the new name is:2.If the name in Item 1 was not available for use in Michigan, the assumed name adopted when obtaining the Certificateof Authority is: 5.The limited liability company was authorized to transact business in Michigan on the day of , 7.If the name of the limited liability company has changed, its new name is: The effective date of the name change was the day of , and thename change was made in compliance with the laws of the jurisdiction of its organization.8.Complete this item only if the new name in Item 7 is not available for use in Michigan. The assumed name of the limitedliability company to be used in all its dealings with the Bureau and in the transaction of its business in Michigan is: American LegalNet, Inc. www.FormsWorkFlow.com 11. a. The address of its registered office in Michigan is:b.The mailing address of the registered office in Michigan if different than above: , Michigan (Street Address or PO Box)(City)(ZIP Code)c.The name of the resident agent at the registered office is: 10.The address of the office required to be maintained in the jurisdiction of its organization or, if not so required, the principaloffice of the limited liability company is: (Street Address)(City) (State)(ZIP Code) , Michigan (Street Address)(City)(ZIP Code) 12.The Department is appointed the agent of the foreign limited liability company for service of process if no agent has beenappointed, or if appointed, the agent's authority has been revoked, the agent has resigned, or the agent cannot be foundor served through the exercise of reasonable diligence.The name and address of a member or manager or other person to whom the administrator is to send copies of anyprocess served on the administrator is: (Must be different than agent shown in Item 11c) (Name) (Street Address)(City) (State)(ZIP Code) 13.If the business the foreign limited liability company proposes to do in this State is to be enlarged, limited, or otherwisechanged, the specific business which the limited liability company is to transact in Michigan is as follows:The limited liability company is authorized to transact such business or conduct such affairs in the jurisdiction of itsorganization.Signed thisday of, (Signature)(Type or Print Name)By(Type or Print Title) American LegalNet, Inc. www.FormsWorkFlow.com CSCL/CD-762 (Rev. )Preparer's NameBusiness telephone number( ) Submit with check or money order by mail: Michigan Department of Licensing and Regulatory Affairs Corporations, Securities & Commercial Licensing Bureau Corporation Division P.O. Box 30054 Lansing, MI 48909To submit in person:2501 Woodlake CircleOkemos, MITelephone: (517) 241-6470 Fees may be paid by check, money order, VISAMasterard when delivered in person to our office. LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are availableupon request to individuals with disabilities.INFORMATION AND INSTRUCTIONS1.The certificate amending the application for certificate of authority to transact business cannot be filed until this form, or acomparable document, is submitted.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, unless youenter a different address in the box on the front of this document.Since this document will be maintained on electronic format, it is important that the filing be legible. Documents with poorblack and white contrast, or otherwise illegible, will be rejected.4.Item 3 - Enter the identification number previously assigned by the Bureau. If this number is unknown, leave it blank.8.NONREFUNDABLE FEE: Make remittance payable to the State of Michigan. Include limited liability company name and identification number on check or money order............................................................................................................$25.007.This Certificate must be signed by a person with authority to sign as provided in the laws of jurisdiction of itsorganization.6.Item 13 - This item should state only the specific activities to be conducted in Michigan. An all purpose activities statementis not permitted.5.Item 12 - The person must be different than agent shown in Item 11c.3.This Certificate is to be used pursuant to section 1005 of Act 23, P.A. of 1993 by a foreign limited liability company havinga Certificate of Authority to Transact Business in this State where the information contained in its original or last amendedApplication has changed. This amended Application must be filed promptly after the time the change becomes effective inthe jurisdiction of its organization. American LegalNet, Inc. www.FormsWorkFlow.com Optional expedited service.Expedited review and filing, if fileable, is available for all documents for profit corporations, limitedliability companies, limited partnerships and nonprofit corporations.The nonrefundable expedited service fee is in addition to the regular fees applicable to the specificdocument. Please complete a separate CSCL/CD-272 form for expedited service for each document submittedin person 24-hour service - $50 for formation documents and applications for certificate of authority.24-hour service - $100 for any document concerning an existing entity.Same day service Same day - $100 for formation documents and applications for certificate ofauthority.Same day - $200 for any document concerning an existing entity.Review completed on day of receipt. Document and request for same day expeditedservice must be received by 1 p.m. EST OR EDT.Two hour - $500Review completed within two hours on day of receipt. Document and request for two hourexpedited service must be received by 3 p.m. EST OR EDT.One hour - $1000Review completed within one hour on day of receipt. Document and request for 1 hourexpedited service must be received by 4 p.m. EST OR EDT.Documents submitted by mail are delivered to a remote location for receipts processing and arethen forwarded to the Corporation Division for review. Day of receipt for mailed expedited servicerequests is the day the Corporation Division receives the request. Rev. American LegalNet, Inc. www.FormsWorkFlow.com