DOS-1360-f (Rev. 03/17) Page 1of 2 New York StateDepartment of State DIVISION OF CORPORATIONS, STATE RECORDS AND UNIFORM COMMERCIAL CODE One Commerce Plaza 99 Washington Ave. Albany, NY 12231-0001 www.dos.ny.gov CERTIFICATE OF AMENDMENT OF (Insert Name of Foreign Limited Liability Company) Under Section 804 of the Limited Liability Company Law FIRST: The name of the foreign limited liability company as it appears on the index of names in the Department of State is: . If applicable, the fictitious name the foreign limited liability company has agreed to use in this state is: . SECOND: The jurisdiction of organization of the foreign limited liability company is: . THIRD: The date on which its application for authority filed with the Department of State is: . FOURTH: The application for authority is amended as follows: (If the true name of the foreign limited liability company is to be changed, set forth a statement that the change of name has been effected under the laws of the jurisdiction of its formation and the date the change was so effected.) (A) Paragraph of the application for authority is amended to read as follows: (B) Paragraph of the application for authority is amended to read as follows: . X (Signature) (Type or print name) Capacity of signer (Check appropriate box): Member Manager Authorized Person American LegalNet, Inc. www.FormsWorkFlow.com DOS-1360-f (Rev. 03/17) Page 2of 2CERTIFICATE OF AMENDMENT OF (Insert Name of Foreign Limited Liability Company) Under Section 804 of the Limited Liability Company Law Filer222s Name and Mailing Address: Name: Company, if Applicable: Mailing Address: City, State and Zip Code: NOTES: 1. The name of the foreign limited liability company and the date of filing of the application for authority must exactly match the records of the Department of State. This information should be verified on the Department of State222s website at www.dos.ny.gov. 2. This form was prepared by the New York State Department of State for filing a certificate of amendment for a foreign limited liability company. It does not contain all optional provisions under the law. You are not required to use this form. You may draft your own form or use forms available at legal supply stores. 3. The Department of State recommends that legal documents be prepared under the guidance of an attorney. 4. The certificate must be submitted with a $60 filing fee made payable to the Department of State. (For office use only) American LegalNet, Inc. www.FormsWorkFlow.com