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

This is to amend authority of a foreign corporation to transact business in South Carolina. The form provided here is simply a sample of what the actual Form 103 looks like.

STATE OF SOUTH CAROLINA
SECRETARY OF STATE

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

TYPE OR PRINT CLEARLY WITH BLACK INK

Pursuant to Section 33-15-104 of the 1976 South Carolina Code of Laws, as amended, the undersigned corporation hereby applies for an amended certificate of authority to transact business in the State of South Carolina and for that purpose submits the following statement:

1. The name of the corporation is _______________________________

1a. The above named corporation received a Certificate of Authority to transact business in South Carolina on

_________________________________.

2. This application is filed for the following reason (complete all applicable items):

[____] a. The corporation has changed its corporate name as follows

_______________________________

[____] b. The corporation has changed its duration to ________________

[____] c. The corporation has changed the state or country of its incorporation to

_______________________________

3. The name of the corporation for the purpose of transacting business in South Carolina is (See Sections 33-4-101 and 33-15-106) and see Section 33-19-500(b)(1) if the corporation is a professional corporation

_______________________________

4. It is incorporated as (check applicable item) [____] a general business corporation, [____] a professional corporation under the laws of the state of

_______________________________

5. The date of its incorporation is _______________________________

and the period of its duration is _______________________________

6. The address of the principal office of the corporation in the jurisdiction of its incorporation is

Street Address _______________________________

in the city of _______________________________

and the state of _______________________________.

Zip Code _______________________________

7. The address of the registered office in the state of South Carolina is

Street Address _______________________________

in the city of _______________________________, South Carolina

Zip Code _______________________________

8. The name of the registered agent in this state at such address is

_______________________________

9. The name and usual business address of the corporation's directors (if the corporation has no directors, then the name and address of those persons who are exercising the statutory authority of directors on behalf of the corporation) and principal officers:

a) Name of Directors and Business Address

_________________________________

_________________________________

_________________________________

_________________________________

b) Name and Office Business Address of Principal Officers

_________________________________

_________________________________

_________________________________

_________________________________

8. The aggregate number of shares which the corporation has authority to issue, itemized by classes and series, if any, within a class:

Class of Shares (and Series, if any) _________________________________

Authorized Number of Each Class (and Series) ______________________

Class of Shares (and Series, if any) _________________________________

Authorized Number of Each Class (and Series) _____________________

Class of Shares (and Series, if any) _________________________________

Authorized Number of Each Class (and Series) _____________________

9. Unless a delayed date is specified, this application shall be effective when accepted for filing by the Secretary of State (See Section 33-1-230):

______________________________________________

Date ______________________

______________________________________
Name of Corporation

______________________________________
Signature of Officer

______________________________________
Type or Print Name and Office


--------------------
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 the space in this form is insufficient, please attach additional sheets containing a reference to the appropriate paragraph in this form.

3. Schedule of Fees (payable at the time of filing this document)

Fee for filing Application $ 10.00
Filing Tax 100.00
Total (payable to the Secretary of State) $ 110.00

4. A certified copy of amendment or certificate of existence from domestic state must accompany form.

5. If the applicant corporation's domestic name is unavailable in South Carolina, then it must file a certified copy of the board of director's resolution approving the fictitious name along with this application pursuant to Section 33-15-106(a)(2). (additional $10 filing fee)

Return to: Secretary of State
P.O. Box 11350
Columbia SC 29211

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