State of California Secretary of State LIMITED LIABILITY COMPANY APPLICATION FOR REGISTRATION CERTIFICATE OF AMENDMENT A $30.00 filing fee must accompany this form IMPORTANT – Read instructions before completing this form. This Space For Filing Use Only 1. Secretary of State File Number 2. Name under which this foreign limited liability company is conducting business in California: 3. COMPLETE ONLY THE SECTIONS WHERE INFORMATION IS BEING CHANGED. ADDITIONAL PAGES MAY BE ATTACHED, IF NECESSARY. CONSULT THE INSTRUCTIONS BEFORE COMPLETING THIS FORM. A. The name under which this foreign limited liability company conducts business in California. (End the name with the words “ Limited Liability Company,”or “ Ltd. Liability Co.,”or the abbreviations “ LLC”or “ L.L.C.” ) B. The name of the foreign limited liability company has been changed as follows and has been recorded in the home state or country: C. State or country of formation of the foreign limited liability company, if false or erroneous at time of registration. D. Date on which the foreign limited liability company was formed, if false or erroneous at time of registration. E. Address of the principal executive office: City State F. Address of the principal office in California: City State Month Day 4. Future effective date, if any: Zip Code CA Zip Code Year 5. Number of pages attached, if any: 6. Declaration: It is hereby declared that I am the person who executed this instrument, which execution is my act and deed. Signature of Authorized Person Type or Print Name and Title of Authorized Person Date RETURN TO: NAME FIRM ADDRESS CITY/STATE ZIP CODE SEC/STATE (REV. 03/2005) FORM LLC-6 – FILING FEE: $30.00 Approved by Secretary of State American LegalNet, Inc. www.USCourtForms.com INSTRUCTIONS FOR COMPLETING THE CERTIFICATE OF AMENDMENT TO THE APPLICATION FOR REGISTRATION (LLC-6) • If any statement in the Application of Registration (LLC-5) was false when made or any statements made have become erroneous, the foreign limited liability company shall promptly file with the Secretary of State of California a Certificate of Amendment to the Application for Registration (LLC-6). (Section 17454.) • The Certificate of Amendment to the Application for Registration (LLC-6) may become effective not more than ninety (90) days after filing the Certificate. If such future effective date is desired, indicate in a cover letter the month, day, and year upon which the Certificate of Amendment of the Application for Registration (LLC-6) is to become effective. (Section 17056(c)). DO NOT ALTER THIS FORM Type or legibly print in black ink. • Attach the fee for filing the Certificate of Amendment to the Application for Registration (LLC-6) with the Secretary of State. The fee is thirty dollars ($30). • Make check(s) payable to the Secretary of State. • Send the executed document and filing fee to: California Secretary of State Document Filing Support Unit P.O. Box 944228 Sacramento, CA 94244-2280 • Fill in the items as follows: Item 1. Enter the file number issued by the California Secretary of State. Item 2. Enter the name of the foreign limited liability company as registered with the California Secretary of State. Item 3. Enter only the information which is being amended. Provide the text of each amendment adopted, using the A-F space provided and/or attaching additional pages. Item 4. Enter the future effective date of the Certificate of Amendment to the Application for Registration (LLC6), if any. If none is entered, the amendment shall be effective upon filing with the California Secretary of State. Item 5. Enter the number of pages attached, if any. All attachments should be 8½ “x 11” one-sided and legible. , Item 6. The Certificate of Amendment to the Application for Registration (LLC-6) shall be executed with an original signature and title. If the Certificate of Amendment to the Application for Registration (LLC-6) is signed by an entity, the person who signs for the entity must note the exact entity name, his/her name and his/her position/title. If the Certificate of Amendment to the Application for Registration (LLC-6) is signed by a trust, the certificate must be signed by a trustee as follows: ________, trustee for __________trust (including the date of the trust, if applicable). Example: Mary Todd, trustee of the Lincoln Family Trust (U/T/A 5/1/94). Item 7. Enter the name and address of the person or firm to whom a copy of the filing should be mailed. • Statutory provisions can be found in Section 17454 of the California Corporations Code, unless otherwise indicated. • For further information contact the Business Filings Section at (916) 657-5448. American LegalNet, Inc. www.USCourtForms.com