AN 53-13 kansas secretary of state Not-For-Profit Corporation Certificate of Amendment Instructions Kansas Office of the Secretary of State: Memorial Hall, 1st Floor 120 S.W. 10th Avenue Topeka, KS 66612-1594 (785) 296-4564 kssos@sos.ks.gov www.sos.ks.gov The following form must be complete and accompanied by the correct filing fee or the document will not be accepted for filing. Save time and money by filing your forms online at www.sos.ks.gov. There, you can also stay up-to-date on your organization’s status, annual report due date, and contact addresses. o Filing fee The filing fee for this document is $20. o Payment Please enclose a check or money order payable to the Secretary of State. Forms received without the appropriate fee will not be accepted for filing. Please do not send cash. NOTICE: There is a $25 service fee for all checks returned by your financial institution. Also, to expedite processing, please do not use staples on your documents or to attach checks. o Signature This amendment requires the signature of an authorized officer. Inst. K.S.A. 17-6602, 17-1608, 17-7302 Rev. 08/11/11 jdr Please proceed to form. American LegalNet, Inc. www.FormsWorkFlow.com AN 53-13 kansas secretary of state Not-For-Profit Corporation Certificate of Amendment Kansas Office of the Secretary of State: Memorial Hall, 1st Floor 120 S.W. 10th Avenue Topeka, KS 66612-1594 (785) 296-4564 kssos@sos.ks.gov www.sos.ks.gov THIS SPACE FOR OFFICE USE ONLY. n This form must be complete and accompanied by the correct filing fee or the document will not be accepted for filing. 1. Business entity ID number Not Federal Employer ID Number (FEIN). 2. Name of corporation Must match name on record with Secretary of State. 3. The articles of incorporation are amended as follows: 4. The amendment was adopted in accordance with the provisions of K.S.A. 17-6602, 17-1608, or 17-7302. 5. Effective date o Upon filing o Future effective date: Month Day Year 6. I declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct, and that I have remitted the required fee. Signature of Authorized Officer X Month Day Year Name of Signer (printed or typed) 1/1 K.S.A. 17-6602, 17-1608, 17-7302 Rev. 08/11/11 jdr Please review to ensure completion. American LegalNet, Inc. www.FormsWorkFlow.com