SUBMIT ORIGINAL AND A COPY
TYPE OR PRINT LEGIBLY
Foreign Nonprofit Corporation
APPLICATION FOR AMENDED CERTIFICATE OF AUTHORITY
The undersigned corporation, in order to apply for an Amended Certificate of Authority
under the New Mexico Nonprofit Corporation Act, submits the following statement:
1. The name of the corporation is (include NMPRC #):__________________________________
______________________________________________________________________________
2. A Certificate of Authority was issued to this corporation on: ___________________________
3. The corporate name has been changed to: __________________________________________
______________________________________________________________________________
(attach an original authenticated certificate of filing verifying the change of corporate name)
4. The corporation desires to pursue in New Mexico other or additional purposes than those set
forth in its application for Certificate of Authority, as follows:____________________________
______________________________________________________________________________
______________________________________________________________________________
Dated: _______________________
________________________________________________
Name of Corporation
Two officers must sign:
By _______________________________________
Signature of authorized officer
By ________________________________________
Signature of authorized officer
Form FNP-AM
(revised 7/03)