Amended Certificate Of Formation/registration - Washington Secretary Of State
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Limited Liability Company
See attached detailed instructions
□
Filing Fee $30.00
□
Filing Fee with Expedited Service $80.00
UBI Number:
AMENDED CERTIFICATE OF FORMATION/REGISTRATION
Chapter 25.15 RCW
SECTION 1
:
NAME OF LIMITED LIABILITY COMPANY (LLC)
(as currently recorded with the Office of the Secretary of State)
SECTION 2
AMENDMENTS TO CERTIFICATE:
(if necessary, attach additional information. If changing the name it must contain
one of the following designations: Limited Liability Company, Limited Liability Co or one of these abbreviations: L.L.C. or
LLC. If the designation is omitted, it will default to LLC when processed)
SECTION 3
EFFECTIVE DATE OF AMENDMENTS TO CERTIFICATE:
(please check one of the following)
□
Upon filing by the Secretary of State
□
Specific Date: __________________
(Specified effective date must be within 90 days AFTER the Amended
Certificate has been filed by the Office of the Secretary of State)
SECTION 4
MEMBER OR MANAGER SIGNATURE
(see instructions page)
This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct.
X_______________________________________________________________________________________
Signature
Printed Name/Title
Date
Phone
LLC - Amendment
Washington Secretary of State
Revised 02/13
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Parent category: Financial