Application For Amended Certificate Of Authority Foreign LLC

APPLICATION FOR AMENDED CERTIFICATE OF AUTHORITY FOREIGN LIMITED LIABILITY COMPANY Submit in Duplicate , Secretary of State002 P.O. Box 94608 Lincoln, NE 68509 (402)471-4079www.sos.neName of Limited Liability Company Alternate Name 002Check the item or items that are being amended and provide the appropriate information: Organized under the laws of the State or Jurisdiction of: The name of the organization has been changed to: Alternate name changed to: The address of the principle office has been changed to: Street and mailing address City State Zip If required by state or jurisdiction of organization, office maintained in that jurisdiction has been changed to: Street and mailing address City State Zip Nature of the Business or purposes to be conducted in this state has been changed to: Name and address of registered agent in Nebraska: Registered Agent Name: Registered Agent Address: NE Street Address and post office box number (if any) City State Zip Effective date if other than the date filed Printed name Representative Signature of Authorized Representative FILING FEE: $15.00 plus $5.00 per additional page Neb. Rev. Stat. 21-159 American LegalNet, Inc. www.FormsWorkFlow.com