Certificate Of Change Of Directors Or Officers

No Fee IDENTIFICATION NO.__________________ The Commonwealth of Massachusetts William Francis Galvin Secretary of the Commonwealth One Ashburton Place, Room 1717, Boston, Massachusetts 02108-1512 CERTIFICATE OF CHANGE OF DIRECTORS OR OFFICERS OF NON-PROFIT CORPORATIONS (General Laws, Chapter 180, Section 6D) I, _____________________________________________________________________________________ , *Clerk / *Assistant Clerk of _________________________________________________________________________________________________________ , (Exact name of corporation) having a principal office at ______________________________________________________________________________________ , (Street address of corporation in Massachusetts) certify that pursuant to General Laws, Chapter 180, Section 6D, a change in the directors and/or the president, treasurer and/or clerk of said corporation has been made and that the name, residential address, and expiration of term of each director and the president, treasurer and clerk are as follows: NAME President: Treasurer: Clerk: **Assistant Clerk: Directors: RESIDENTIAL ADDRESS EXPIRATION OF TERM OF OFFICE SIGNED UNDER THE PENALTIES OF PERJURY, this __________ day of________________________________ , 20 ___________, _______________________________________________________________________________________ , *Clerk / *Assistant Clerk. *Delete the inapplicable words. **Please provide the name and residential address of the assistant clerk if he/she is executing this certificate of change. American LegalNet, Inc. www.FormsWorkFlow.com 180ccdo 11/6/13