Application For A Corrected Or Amended Certificate Of Authority For A Foreign Cooperative Association {CA 52A}

State of Missouri D WE S T ITE D AN DIV Jason Kander, Secretary of State X ESTO LE ED WE FA ID E PLURIB M UNU SALUS PO MDC PUL I SUPREM CCXX The below cooperative association, relating to correcting/amending its Certificate of Authority of Foreign Cooperative Association, does hereby state: 1. Its name is: it is registered in the State of: in the State of Missouri on month/day/year 2. By appropriate association action on: month/day/year a. Changed its cooperative association name to: Name it will use in Missouri if new name not available: b. Changed its period of duration to: c. Changed the state or country of its association to: d. Changed the principal place of business to: 3. Any other amendments to the certificate: 4. If filing a correction, state the incorrect statement and the reason for the correction, and inlcude the correct statement: 5. There is attached hereto a Certificate of the Secretary of State or other state authority of the state of relating to the correction/amendment(s), set forth above and showing that the Association is in existence and in good standing in said State. (Certificate must be less than 60 days old.) In Affirmation thereof, the facts stated above are true and correct: (The undersigned understands that false statements made in this filing are subject to the penalites provided under Section 575.040, RSMo) Authorized signature Attached is a current certificate attesting to the change, duly authenticated and certified by the secretary of state or other official having custody of association records in the state or country of association. Name and address to return filed document: Name: Address: City, State, and Zip Code: CA 52A (08/2011) American LegalNet, Inc. www.FormsWorkFlow.com LL US A Corporations Division PO Box 778 / 600 W. Main St., Rm. 322 Jefferson City, MO 65102 UN Application for a Corrected/Amended Certificate of Authority for a Foreign Cooperative Association (Submit with filing fee of $25.00) ; ; and it was qualified . the association: Printed Name Title Date