Form 451 - Amendment To Application For Registration - 2012
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1Filing Fee: $50.00
ID Number: ____________
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS
Office of the Secretary of State
Division of Business Services
148 W. River Street
Providence, Rhode Island 02904-2615
LIMITED LIABILITY COMPANY
___________
AMENDMENT TO
APPLICATION FOR REGISTRATION
Pursuant to the provisions of Section 7-16-52 of the General Laws of Rhode Island, 1956, as amended, the undersigned
foreign limited liability company hereby (check one box only)
corrects or
amends its Application for a
Certificate of Registration to transact business in the state of Rhode Island, and for that purpose submits the following
statement:
1. The name of the limited liability company is:
2. The statements in the application for registration were inaccurate when made or a change has occurred as follows:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
3. The date this Amendment to the Application for Registration is to become effective, if later than the date of filing, is:
(not prior to, nor more than 30 days after, the filing of this Amendment to the Application for Registration)
Under penalty of perjury, I declare and affirm that I have examined this
Amendment to Application for Registration, including any accompanying
attachments, and that all statements contained herein are true and
correct.
Date: __________________________
_________________________________________________________
Print Exact Name of Limited Liability Company Making Application
By ______________________________________________________
Signature of Authorized Person
Form No. 451
Revised: 05/12
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