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Certificate of Change of Directors or Officers of Domestic Business Corporations (Massachusetts)

This form is to change the directors or officers of domestic business corporations in the State of Massachusetts. The form provided here is simply a basic structure for what you may need in order to apply for your corporation's change of directors or officers.

FEDERAL IDENTIFICATION NO. _________________

The Commonwealth of Massachusetts
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512

CERTIFICATE OF CHANGE OF DIRECTORS OR OFFICERS
OF DOMESTIC BUSINESS CORPORATIONS
(General Laws, Chapter 156B, Section 53)


I, __________________________________, *Clerk / *Assistant Clerk

of _________________________________, (Exact name of corporation)

having a principal office at _______________________________________________________,
(Street address of corporation in Massachusetts)

certify that pursuant to General Laws, Chapter 156B, Section 53, a change in the directors and/or the president, treasurer and/or clerk of said corporation has been made and that the name, residential address, and expiration of term of the president, treasurer, clerk and each director are as follows:

PRESIDENT NAME __________________________________________

RESIDENTIAL ADDRESS _____________________________________

EXPIRATION OF TERM OF OFFICE____________________________

TREASURER NAME _________________________________________

RESIDENTIAL ADDRESS _____________________________________

EXPIRATION OF TERM OF OFFICE____________________________

CLERK NAME _____________________________________________

RESIDENTIAL ADDRESS _____________________________________

EXPIRATION OF TERM OF OFFICE____________________________

**ASSISTANT CLERK ________________________________________

RESIDENTIAL ADDRESS _____________________________________

EXPIRATION OF TERM OF OFFICE____________________________

DIRECTORS NAME _________________________________________

RESIDENTIAL ADDRESS _____________________________________

EXPIRATION OF TERM OF OFFICE____________________________

SIGNED UNDER THE PENALTIES OF PERJURY, this ___________ day of

_______________________ , 20 _________ ,


_______________________________________________________, *Clerk / *Assistant Clerk.


*Delete the inapplicable words.
**Please provide the name and residential address of the assistant clerk if he/she is executing this certificate of change.

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