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Application By A Foreign Nonprofit Corporation For An Amended Certificate Of Authority To Transact Business In South Carolina

This is for a foreign nonprofit corporation to amend their certificate of authority to transact business in South Carolina. The form provided here is simply a sample of what the actual Form 106 looks like.

STATE OF SOUTH CAROLINA
SECRETARY OF STATE

APPLICATION BY A FOREIGN NONPROFIT CORPORATION
FOR AN AMENDED CERTIFICATE OF AUTHORITY
TO TRANSACT BUSINESS
IN THE STATE OF SOUTH CAROLINA

PLEASE TYPE OR USE BLACK INK

Pursuant to § 33-31-1504 of the 1976 South Carolina Code of Laws, as amended, the undersigned nonprofit corporation hereby applies for an amended certificate of authority to transact business in the State of South Carolina, and for that purpose, hereby submits the following amendment:

1. The name of the foreign nonprofit is:

_____________________________________

2. The nonprofit corporation received authority to transact business in South Carolina on:


_______________________________.

3. This application is filed for the following reason (complete all that apply):

a. The nonprofit has changed its name as follows:

_________________________________

b. The nonprofit has changed its duration to:

_____________________________________.

c. The nonprofit has changed the state or country of its incorporation to:

______________________________.

4. The corporation is incorporated under the laws of:

____________________________________
State & County

5. The corporation was incorporated:

_________________ Month ____________________ Day _________ Year

and its duration is (complete "a" or "b," whichever is applicable):

a. [____] Perpetual

b. [____] ____________________________________________________.

6. The registered office of the foreign corporation in South Carolina is:

_____________________________________
Street Address

_____________________________________
City County State Zip Code

The name of the registered agent of the nonprofit corporation at that office is:

_____________________________________

7. The principal office of the foreign nonprofit corporation is:

_____________________________________
Street Address

_____________________________________
City County State Zip Code

8. Check whichever is applicable:

a. [____] The corporation has members, those who will vote for the board of directors (see § 33- 31-140(23) of the 1976 South Carolina Code of Laws, as amended).

b. [____] The corporation does not have members.

9. If the corporation had been incorporated in South Carolina it would have been, (check (a), (b), or (c), whichever is applicable, see § 33-31-1706 of the South Carolina Code of Laws, as amended)

a. [____] Public benefit corporation.

b. [____] Religious corporation.

c. [____] Mutual benefit corporation.

10. The name and usual business address (with zip code) of the corporation's directors (or those persons who exercise the authority of directors if the corporation has no directors but has trustees or other similar positions), and the name and usual business addresses (with zip code) of the principal officers (or those who exercise such authority of officers if the corporation does not designate officers):

a. Directors

Name __________________________

Business Address __________________________

__________________________

Name __________________________

Business Address __________________________

__________________________

b. Principal Officers

Position Name __________________________

Business Address __________________________

__________________________

Position Name __________________________

Business Address __________________________

__________________________

Date __________________________

__________________________
Name of Corporation

__________________________
Signature of Officer

__________________________
Type or Print Name and Office

__________________________
Telephone Number


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INSTRUCTIONS FOR FILLING IN FORM
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1. Two copies of this application, the original and either a duplicate original or a conformed copy, must be filed.

2. If space on this form is insufficient, please attach additional sheets containing a reference to the appropriate paragraph in this form, or prepare this form by computer disk, which will allow additional space to be included on the form.

3. This form must be accompanied by an original certificate of existence, or a document of similar import, duly authenticated by the Secretary of State or other official having custody of the corporate records in the State or country under whose law it is incorporated within thirty days of the date that it is received by the Secretary of State of South Carolina for filing.

4. If the applicant corporation is adopting a fictitious name for use in South Carolina pursuant to section 33-31-1506(a) of the 1976 South Carolina Code of Laws, as amended, then a copy of the board of directors' (or equivalent governing body) resolution approving the fictitious name certified by the secretary (or equivalent officer/position) must be attached to this application.

5. This application must be accompanied by the filing fee of $10.00 payable to the Secretary of State, P.O. Box 11350, Columbia, S.C. 29211

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