Application For An Amended Certificate Of Authority By A Foreign Corporation To Transact Business In South Carolina - South Carolina Secretary Of State Page 2

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Name of Corporation
a)
Name of Directors
Business Address
b)
Name and Office of
Business Address
Principal Officers
10.
The aggregate number of shares which the corporation has authority to issue, itemized by
classes and series, if any, within a class:
Class of Shares (and Series, if any)
Authorized No. of Each Class (and Series)
11.
Unless a delayed date is specified, this application shall be effective when accepted for filing
by the Secretary of State (See Section 33-1-230):
.
Date ________________________
________________________________
Name of Corporation
________________________________
Signature of Officer
________________________________
Type or Print Name and Office

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