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Certificate of Change (New York)

This is a certificate of change of a foreign limited liability company in New York. The form provided here is simply a sample of what the actual Form DOS-1362 looks like.

NYS Department of State
Division of Corporations, State Records and UCC
41 State Street, Albany, NY 12231-0001
www.dos.state.ny.us

CERTIFICATE OF CHANGE

OF

_____________________________________
(Insert name of Foreign Limited Liability Company)

Under Section 804-A of the Limited Liability Company Law

FIRST: The name of the foreign limited liability company is:

_______________________________

If applicable, the fictitious name the foreign limited liability company has agreed to use in this state

is: _____________________________________

SECOND: The application for authority was filed with the Department of State

on: _____________________________________

THIRD: The change(s) effected hereby are:[check appropriate box(es)]

____ The county location, within this state, in which the office of the foreign limited liability company is located,

is changed to: _____________________________________

____ The address to which the Secretary of State shall forward copies of process accepted on behalf of the foreign limited liability company

is changed to: _____________________________________

____ The foreign limited liability company hereby: [check one]

____ Designates as its registered agent upon whom process against the foreign limited liability company may be served.

____ Changes the designation of its registered agent to:

_____________________________________

____ Changes the address of its registered agent to:

_____________________________________

____ Revokes the authority of its registered agent.

____________________________________ (Signature)

____________________________________ (Type or print name)

____________________________________ (Title or capacity of signer)

CERTIFICATE OF CHANGE
OF

____________________________________
(Insert name of Foreign Limited Liability Company)

Under Section 804-A of the Limited Liability Company Law


Filed by: ____________________________________ (Name)

____________________________________ (Mailing address)

____________________________________ (City, State and ZIP code)

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