C-102B Rev 8/02 New Jersey Division of Revenue Certificate of Amendment to the Certificate of Incorporation (For Use by Domestic Non-profit Corporations) Pursuant to the provisions of Title 15A:9-4 New Jersey Non-profit Corporation Act, the undersigned corporation executes the following Certificate of Amendment to its Certificate of Incorporation: 1. 2. 3. Name of the Corporation: Corporation Number: Article of the Certificate of Incorporation is hereby amended to read as follows: 4. The corporation has does not have members. A. For Corporations WITH members: Number entitled to vote Voting FOR Voting AGAINST If any class or classes of members are entitled to vote as a class, set forth the number of members of each class, the series of votes of each class voting for and against, and the number of members present at the meeting, OR ______Adoption was by unanimous written consent without meeting. Date of Adoption: B. For Corporations WITHOUT members: Number of Trustees Trustees present at meeting Voting FOR OR Voting AGAINST _______Adoption was by unanimous written consent without meeting Date of Adoption: 5. Other Provisions: Signature: (Must be Ch. Of Bd. Pres. Or Vice Pres) Date: Name: (Type Name and Title) ********* This document MUST be filed in triplicate. NJ Division of Revenue, PO Box 308, Trenton, NJ 08646 American LegalNet, Inc. www.USCourtForms.com Rev 7/07/05 Instructions for Form C-102B CERTIFICATE OF AMENDMENT BY THE MEMBERS OR TRUSTEES NON-PROFIT CORPORATIONS (Title15A) STATUTORY FEE: $75 The MANDATORY fields are: Field # 1 -- Business Name List the name as it appears on the records of the State Treasurer. Field # 2 -- Number List the ten-digit ID as it appears on the records of the State Treasurer. Field # 3 -- Amendment List the article from the original certificate of incorporation that is being amended along with the text of the amendment, including a name change if applicable. If you are changing the corporate name, then name availability provisions apply. ** **The name must be distinguishable from other names on the State's database. Division of Revenue will check the proposed name for availability as part of the filing review process. If desired, you can reserve/register a name prior to submitting your filing by obtaining a reservation/registration. For information on name availability, reservation/registration services and fees, visit the Division's WEB site at http://www.state.nj.us/treasury/revenue/certcomm.htm or call (609) 292-9292 Monday-Friday, 8:30 a.m. - 4:30 p.m. Field #'s 4-- Voting Indicate whether or not the corporation has members. If there are members, indicate the number of members entitled to vote, and the number of votes cast for and against; OR that the members gave unanimous written consent without a meeting. If there are no members, indicate either: the number of trustees voting for or against along with the number of trustees present at the meeting; OR that the trustees gave unanimous written consent without a meeting. Field #5 -- Other Provisions (as needed) Specify other information such as the effective date if it is other than the filing date. The effective date cannot be before the filing date nor can it be more than 30 days after the filing date. The filing date is the date the document is received for processing. EXECUTION (DATE/SIGNATURE) Have the chairman, president or vice-president sign. Also, list the date of execution (signature). ********** This document should be filed in triplicate. Make checks payable to: TREASURER, STATE of NEW JERSERY. (No cash, please) Mail to: NJ Division of Revenue, PO Box 308, Trenton, NJ 08646 American LegalNet, Inc. www.USCourtForms.com