Form Amdrst_lpa Sample - Amended And Restated Articles Of Association

Form must be filed electronically.

Paper forms are not accepted.

This copy is a sample and cannot be submitted for filing.

Amended and Restated Articles of Association

filed pursuant to §7-90-301, et seq. and §7-63-105 and §7-63-108 and §7-90-304.5 of the Colorado

Revised Statutes (C.R.S.)

1. For the entity, its ID number and entity name are

ID number

_________________________

(Colorado Secretary of State ID number)

Entity name

______________________________________________________.

2. The new entity name (if applicable) is ______________________________________________________.

3. The amended and restated constituent filed document is attached.

(Caution: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has significant legal

consequences. Read instructions before entering a date.)

(If the following statement applies, adopt the statement by entering a date and, if applicable, time using the required format.)

The delayed effective date and, if applicable, time of this document is/are _________________________.

(mm/dd/yyyy hour:minute am/pm)

Notice:

Causing this document to be delivered to the secretary of state for filing shall constitute the affirmation or

acknowledgment of each individual causing such delivery, under penalties of perjury, that the document is the

individual's act and deed, or that the individual in good faith believes the document is the act and deed of the person

on whose behalf the individual is causing the document to be delivered for filing, taken in conformity with the

requirements of part 3 of article 90 of title 7, C.R.S., the constituent documents, and the organic statutes, and that the

individual in good faith believes the facts stated in the document are true and the document complies with the

requirements of that Part, the constituent documents, and the organic statutes.

This perjury notice applies to each individual who causes this document to be delivered to the secretary of state,

whether or not such individual is named in the document as one who has caused it to be delivered.

5. The true name and mailing

address of the individual causing

the document to be delivered for

filing are

____________________ ______________ ______________ _____

(Last)

(First)

(Middle)

(Suffix)

______________________________________________________

(Street name and number or Post Office Box information)

______________________________________________________

__________________________ ____ ____________________

(City)

(State)

(Postal/Zip Code)

_______________________ ______________ .

(Province – if applicable)

(Country – if not US)

AMDRST_LPA

Page 1 of 2

Rev. 1/6/2017

Form Amdrst_lpa Sample - Amended And Restated Articles Of Association - 2017

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