Business Entity Amendment Filing {REG-C-EA}

REG-C-EA STATE OFNEW JERSEY Mail to: (06-04) DIVISION OFREVENUE PO Box 308 Trenton, NJ 08625 BUSINESS ENTITYAMENDMENTFILING FEE REQUIREDComplete the following information and sign in the space provided. Plea se note that once filed, the information on this page is considered public.Refer to the instructions for delivery/return options, filing fees and f ield-by-field requirements. Remember to remit the appropriate fee amount for thisfiling. Use attachments if more space is required for any field, or if you wish to add articles for the public record. A. Business Name:__________________________________________________________ _______________________________________________ B. Statutory Authority for Amendment: _______________________________________________ (See Instruc tions for List of Statutory orities)AuthC. ARTICLE __________________ OF THE CERTIFICATE of the above referenced business is amended to read as follows. (If more space isnecessary, use attachment) Check one of the following indicating what type of business: _____Incorporation _____Formation _____Registration ___ _Authority ____Limited Partnership D. Other Provisions: (Optional)_________________________________________ _____________________________________________________ E. Date Amendment was Adopted:____________________ F. CERTIFICATION OF CONSENT/VOTING: (If required by one of the following laws cite d, certify consent/voting) N.J.S.A. 14A:9-1 et seq. or N.J.S.A15A:9-1 et seq., Profit and Non-Profit Corps. Amendment by the Incorporators Amendment was adopted by unanimous consent of the Incorporators. N.J.S.A14A:9-2(4) and 14A:9-4(3), Profit Corps., Amendment by the Shareholders Amendment was adopted by the Directors and thereafter adopted by the sha reholders. Number of shares outstanding at the time the amendment was adopted _____ _____________, and total number of shares entitled to vote thereon ______________. If applicable, list the designation and number of each class/series of shares entitled to vote: List votes for and against amendment, and if applicable, show the vote b y designation and number of each class/series of shares entitled to vote: Number of Shares Voting for Amendment Number of Shares Voting Against Amendment ** If the amendment provides for the exchange, reclassification, or can cellation of issued shares, attach a statement indicating the manner in which same shall be effected. N.J.S.A. 15A:9-4, Non-profit Corps., Amendment by Members or Trustees The corporation has does not have members. If the corporation has members, indicate the number entitled to vote ___ ____, and how voting was accomplished: At a meeting of the corporation. Indicate the number VOTING FOR _____ and VOTING AGAINST_____. If any class(es) of members may vote as a class, set forth the number of members in each class, the votes for and against by class, and the number present at the meeting: Class Number of Members Voting for Amendment Voting Against Amendment Adoption was by unanimous written consent without a meeting. If the corporation does not have members, indicate the total number of Trustees ___________________, and how voting was accomplished: At a meeting of the corporation. The number of Trustees VOTING FOR ______________ and VOTINGAGAINST______________. Adoption was by unanimous written consent without a meeting. G. AGENT/OFFICE CHANGE New Registered Agent: _________________________________________________________________ __________________________________ Registered Office: ( Must be a NJ street address) Street__________________________________________________________________ City _______________________ Zip ________________H. SIGNATURE(S) FOR THE PUBLIC RECORD (See Instructions for Information on Signature Requirements) Signature_________________________________________________Title ____________________________________________ Date _____________Signature_________________________________________________Title ____________________________________________ Date _____________ The above-signed certifies that the business entity has complied with al l applicable NJ statutory filing requirements - 39 - American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 2 INSTRUCTIONS BUSINESS CHANGE AND AMENDMENTFORM (REG-C-Land REG-C-EA) I. GENERALINSTRUCTIONS A. Use the appropriate form forfiling: 1. Sole Proprietorships and Partnershipsmay use Sections A - F of the return to report changes in tax/wage registration, and mail changes to the Division of Revenue, Client Regist ration Bureau, PO Box 252, Trenton, NJ 08646-0252. 2. Business Entities- i.e. Foreign or domestic corporations, limited partnerships, limited l iability companies and limited liability partnerships, may use Section A -F (page 37) to report changes in address, seasonal business cycles or tax/wage collection status only. Amendments to articles recorded in the original certificate of the business entity, including name changes, must be reported on page 39 (REG-C-EA). Business entities may submit Changes/Amendments through one of the optio ns listed in these instructions (page 21) along with the correct FEE amount for filing an amendment. (See FEE Schedule, page 22). NJ authorized corporations may not usethe Business Change/Amendment Form to DISSOLVE, CANCEL, WITHDRAW, MERGE OR CONSOLIDATE. Contact the Division of Revenue at (609) 292-9292 to obtain forms and instructions for these transactions. These forms may also be downloaded from the New Jersey Business Gateway Service at www.state.nj.us/njbgs/. REMEMBER TO TYPE OR MACHINE PRINT ALLAMENDMENT FILINGSUBMISSIONS . B. For Delivery/Return Optionsfor Amended Business Filings, please see page 21, items 2a-2c. C. Fee Schedule forBusiness Entity Amendment Filings 1. Basic Filing Fees a. Filing fees for all corporate and limited partnership amendments is $75 per filing. b. Filing fee for all limited liability company and limited liability partn ership amendments is $100 per filing. c. Filing fee for corporate and limited partnership agent changes is $25 pe r filing. d. Filing fee for limited liability company and limited liability partnersh ip agent changes is $25 per filing. 2. Service Fees and OtherOptional Fees(All added to basic fees above if selected, see page 21 Items 2a-2c for service options) a. Expedited service per filing request for corporations, non-profits and L Ptransactions is $15.00. Expedited service per filing for LLC and LLPtransactions (8.5 business hour turnaround for ov