Articles Of Amendment (Short Form) - 2010

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DO NOT WRITE ABOVE THIS LINE; RESERVED FOR ACC USE ONLY.
ARTICLES OF AMENDMENT (SHORT FORM)
LO16i
Read the Instructions
1.
ENTITY NAME – give the exact name of the LLC as currently shown in A.C.C. records:
_______________________________________________________
2.
A.C.C. FILE NUMBER: _____________________________________________________________________________
Find the A.C.C. file number on the upper corner of filed documents OR on our website at:
CHECK THE BOX NEXT TO EACH CHANGE BEING MADE AND
COMPLETE THE REQUESTED INFORMATION FOR THAT CHANGE.
3.
ENTITY NAME CHANGE – type or print the exact NEW name of the LLC in the space provided:
____________________________________________________
_
4.
MANAGEMENT STRUCTURE CHANGE –
see Instructions L016i
– check only one box below and follow
instructions:
CHANGING TO MANAGER-MANAGED LLC – complete
CHANGING TO MEMBER-MANAGED LLC – complete and
and attach the
Manager Structure Attachment
form
attach the
Member Structure Attachment
form L041.
L040. The filing will be rejected if it is submitted
The filing will be rejected if it is submitted without the
without the attachment.
attachment.
5.
DURATION CHANGE –
check only one box to indicate the NEW duration or life period of the LLC:
Perpetual
The LLC’s life period will end
The LLC’s life period will end upon the occurrence of this event:
on this date:
6.
ENTITY TYPE CHANGE – check one and follow instructions:
CHANGING TO PROFESSIONAL LLC – number 7
CHANGING TO NON-PROFESSIONAL LLC –
must also be completed.
(professional LLC becoming a regular LLC).
7.
PROFESSIONAL SERVICES CHANGE – describe the NEW type of professional services of the LLC:
______________________________________________________________
8.
OTHER AMENDMENT – if an amendment was made that was not addressed by the check boxes on this form, then
you must attach to these Articles of Amendment a complete copy of the amendment.
SIGNATURE:
By checking the box marked "I accept" below, I acknowledge under penalty of perjury that this document
together with any attachments is submitted in compliance with Arizona law.
I ACCEPT
Signature
Printed Name
Date (mm/dd/yy)
REQUIRED – check only one and fill in the corresponding blank if signing for an entity:
This is a manager-managed LLC and I am signing
This is a member-managed LLC and I am signing
individually as a manager or I am signing for an entity
individually as a member or I am signing for an entity
manager named:
member named:
Filing Fee: $25.00 (regular processing)
Mail:
Arizona Corporation Commission - Corporate Filings Section
Expedited processing – add $35.00 to filing fee.
1300 W. Washington St., Phoenix, Arizona 85007
All fees are nonrefundable - see Instructions.
Fax:
602-542-4100
Please be advised that A.C.C. forms reflect only the minimum provisions required by statute. You should seek private legal counsel for those matters that may pertain
to the individual needs of your business.
All documents filed with the Arizona Corporation Commission are public record and are open for public inspection.
If you have questions after reading the Instructions, please call 602-542-3026 or (within Arizona only) 800-345-5819.
L016.001
Arizona Corporation Commission – Corporations Division
Rev: 2010
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