New York State Department of State Division of Corporations, State Records and Uniform Commercial Code One Commerce Plaza, 99 Washington Avenue Albany, NY 12231 www.dos.ny.gov CERTIFICATE OF CORRECTION OF (Insert Title of Document to be Corrected) OF (Insert Name of Corporation ) Under Section 105 of the Business Corporation Law FIRST: The name of the corporation is: The date the document to be corrected was filed by the Department of State is: . SECOND: THIRD: The nature of the informality, error, incorrect statement or defect to be corrected is: . FOURTH: is as follows: The provision in the document, as corrected or eliminated or the proper execution, . (Signature) (Type or print name and title of signer) DOS1639-f-l (Rev. 2/12) American LegalNet, Inc. www.FormsWorkFlow.com Page 1 of 2 CERTIFICATE OF CORRECTION OF (Insert Title of Document to be Corrected) OF (Insert Name of Corporation) Under Section 105 of the Business Corporation Law Filed by: (Name) (Mailing address) (City, State and ZIP code) NOTE: This form has been prepared by the New York State Department of State for filing a certificate of correction. You are not required to use this form. You may draft your own form or use forms available at legal stationery stores. The Department of State recommends that all legal documents be prepared under the guidance of an attorney. The certificate must be submitted with a $60 filing fee made payable to the Department of State. (For Office Use Only) DOS1639-f-l (Rev. 2/12) American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2