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Statement Of Correction Correcting Information Other Than Principal Office Address Or Registered Agent Information Form. This is a Colorado form and can be use in Corporation Secretary Of State.
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Tags: Statement Of Correction Correcting Information Other Than Principal Office Address Or Registered Agent Information, Colorado Secretary Of State, Corporation
Document processing fee
If document is filed on paper
$150.00
If document is filed electronically
Currently Not Available
Fees & forms/cover sheets
are subject to change.
To file electronically, access instructions
for this form/cover sheet and other
information or print copies of filed
documents, visit www.sos.state.co.us
and select Business.
Paper documents must be typewritten or machine printed.
ABOVE SPACE FOR OFFICE USE ONLY
Statement of Correction Correcting Information Other Than Principal Office Address
or Registered Agent Information
filed pursuant to §7-90-305 of the Colorado Revised Statutes (C.R.S.)
Document number
_____________________
(of filed document to be corrected)
ID number
_____________________
1. Entity name
______________________________________________________
2. True name
(if different from the entity name)
______________________________________________________
The corrected statement(s) below correct(s) the corresponding incorrect statement(s) that is/are
contained in the filed document identified by the document number above.
Complete the following sections as applicable. Leave the section blank if it does not apply. You must
complete section 15.
3. Corrections made below are intended to update the entity’s current information
OR
Corrections made below are intended for historical purposes only, and not to update the entity’s
current information
.
4. Correction of entity name of record
______________________________________________________
5. Correction of true name of record
______________________________________________________
6. Correction of entity form of record
______________________________________________________
7. Correction of jurisdiction of formation
of record
______________________________________________________
CORRECT_OTHER
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8. Correction of delayed effective
date of record
______________________
(only for filed documents that have not
become effective)
(mm/dd/yyyy)
9. Correction of period of duration of record
If the entity’s period of duration as corrected is perpetual, mark this box
OR
If period of duration is less than
perpetual, state the date on which
the period of duration expires:
_____________________
(mm/dd/yyyy)
10. If other information contained in the filed document is being corrected, mark this box
attachment stating the information to be corrected and each such correction.
and include an
11. Correction regarding unauthorized filed document (if the filed document should not have been filed, mark this
and include an attachment stating each incorrect statement that is corrected by the statement of correction) .
box
(only for filed documents that have become effective)
12. If this statement of correction affects another record in the records of the Secretary of State, mark this
box
and include an attachment stating the entity name, true name, trade name, or trademark and the
identification number of that record.
13. If this statement of correction affects this record’s status, mark this box
.
14. (If this statement of correction revokes a filed document that states a delayed effective date but has not yet become effective, adopt
the following statement by marking the box.)
The filed document is revoked.
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 such document is
such individual's act and deed, or that such individual in good faith believes such document is the act and deed
of the person on whose behalf such individual is causing such document to be delivered for filing, taken in
conformity with the requirements of part 3 of article 90 of title 7, C.R.S. and, if applicable, the constituent
documents and the organic statutes, and that such individual in good faith believes the facts stated in such
document are true and such 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 identified in this document as one who has caused it to be delivered.
CORRECT_OTHER
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15. The true name and mailing address of the individual causing this document to be delivered for filing are
____________________ ______________ ______________ _____
(Last)
(First)
(Middle)
(Suffix)
______________________________________________________
(Street number and name or Post Office Box information)
______________________________________________________
__________________________ ____
(City)
(State)
____________________
(ZIP/Postal Code)
_______________________ ______________.
(Province – if applicable)
(Country)
(If applicable, adopt the following statement by marking the box and include an attachment.)
This document contains the true name and mailing address of one or more additional individuals
causing the document to be delivered for filing.
Disclaimer:
This form/cover sheet, and any related instructions, are not intended to provide legal, business or tax advice,
and are furnished without representation or warranty. While this form/cover sheet is believed to satisfy
minimum legal requirements as of its revision date, compliance with applicable law, as the same may be
amended from time to time, remains the responsibility of the user of this form/cover sheet. Questions should
be addressed to the user’s legal, business or tax advisor(s).
CORRECT_OTHER
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Mail form to:
Colorado Secretary of State
1700 Broadway Ste 200
Denver, CO 80290
Make checks payable to: Colorado Secretary of State
Do not include this page with your filing.
American LegalNet, Inc.
www.FormsWorkFlow.com