Amendment Of Foreign Registration Statement {214}

214 AMENDMENT OF FOREIGN REGISTRATION STATEMENT Title 30, Chapter 21, Idaho Code Filing fee: $30 Complete and submit the application in duplicate. 1. Entity name: 2. The entity name is amended to: a. If the new name is not available or permissible in Idaho, the name to be used in Idaho is: 3. The entity type is amended to: Business Corporation Limited Liability Partnership Limited Liability Company Other: General Partnership General Cooperative Association Limited Partnership (Including a limited liability limited partnership Statutory Trust, Business Trust, or Common-law Business Trust (Provide unlisted foreign entity type here) 4. The entity's jurisdiction is amended to: (Street Address) (Mailing Address, if different) 6. The name, capacity, and mailing address of the governor(s) is amended to: (Name) (Capacity) (Name) (Capacity) (Address) Typed Name: Signature: Capacity: Secretary of State use only Rev. 0 /201 American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS If the document is incorrect, provide contact information where can you be reached for corrections: Email address Note: Complete and submit the application in duplicate. Line 1 Line 2 - If the amendment is a change of name, list the new name of the entity. not be accepted. a. If the new name of the entity is not available, or does not contain an ending which is permissible Line 3 - If the amendment is a change of entity type select the entity type you wish to change to. If your entity type is not listed, select "other" and print the domestic entity type in the space provided. Include amendment Line 4 - If the amendment is a change of jurisdiction enter the new jurisdiction in the space provided. amendment Line 5 address(es) in the spaces provided. Line 6 - If the amendment is a change of governor information enter the name, capacity, and street address in the spaces provided. or a partner of an LP. Please identify the name of the signer by typing his/her name, and indicate in what capacity he/she signs. Enclose the appropriate fee (makes checks payable to Idaho Secretary of State: b. If the form is not typed, the fee is $50.00 conspicuously indicate the customer account number in the cover letter or transmittal document. Mail or deliver to: 450 N 4th Street PO Box 83720 Boise ID 83720-0080 American LegalNet, Inc. www.FormsWorkFlow.com 214 AMENDMENT OF FOREIGN REGISTRATION STATEMENT Title 30, Chapter 21, Idaho Code Filing fee: $30 Complete and submit the application in duplicate. 1. Entity name: 2. The entity name is amended to: a. If the new name is not available or permissible in Idaho, the name to be used in Idaho is: 3. The entity type is amended to: Business Corporation Limited Liability Partnership Limited Liability Company Other: General Partnership General Cooperative Association Limited Partnership (Including a limited liability limited partnership Statutory Trust, Business Trust, or Common-law Business Trust (Provide unlisted foreign entity type here) 4. The entity's jurisdiction is amended to: (Street Address) (Mailing Address, if different) 6. The name, capacity, and mailing address of the governor(s) is amended to: (Name) (Capacity) (Name) (Capacity) (Address) Typed Name: Signature: Capacity: Secretary of State use only Rev. 0 /201 American LegalNet, Inc. www.FormsWorkFlow.com