DEPARTMENT OF CONSUMER AND REGULATORY AFFAIRS
ONE STOP BUSINESS CENTER
941 NORTH CAPITOL STREET, N.E., ROOM #1100
WASHINGTON, D.C. 20002
Government
of the
District of Columbia
APPLICATION FOR AMENDED CERTIFICATE OF AUTHORITY
FOREIGN FOR PROFIT CORPORATION
To:
DEPARTMENT OF CONSUMER AND REGULATORY AFFAIRS
ONE STOP BUSINESS CENTER
941 NORTH CAPITOL STREET, N.E., ROOM #1100
WASHINGTON, D.C. 20002
Pursuant to the provisions of Title 29, Chapter 3 of the Code of Laws of the District of Columbia, the
undersigned corporation hereby applies for an Amended Certificate of Authority to transact business in
the District of Columbia, and for the purpose submits the following statement:
FIRST: A Certificate of Authority was issued to the corporation by this office on ______________, 20
_______ authorizing it to transact business in the District of Columbia under the name of
___________________________________________________ .
SECOND: The corporate name of the corporation has been changed to
____________________________________________
_____________________________________________________________________________________________
. (Note 1)
THIRD: The name which it elects to use hereafter in the District of Columbia is
___________________________________
_____________________________________________________________________________________________
. (Note 2)
FOURTH: The corporation desires to pursue in the transaction of business in the District of Columbia
other or additional purposes than those set forth in its prior application for a Certificate of Authority, as
follows: ________________________________
_____________________________________________________________________________________________
. (Note 1)
FIFTH: This corporation has been redomesticated, and is now under the laws of the state of
__________________________
Date _________________, 20 ________ .
Date: _____________________________________________