DOS - 1667 - f (Rev. 0 2 /1 6 ) Page 1 of 2 CERTIFICATE OF CORRECTION OF (Title of Certificate to be Corrected) OF (Name of Corporation) Under Section 105 of the Not-for-Profit Corporation Law FIRST: The name of the corporation is: SECOND: The date the certificate to be corrected was filed by the Department of State is: THIRD: The following is a description of the error to be corrected: FOURTH: The provision in the certificate as corrected or eliminated or the proper execution, is as follows: X (Signature) (Type or Print Name of Signer) (Capacity of Signer) American LegalNet, Inc. www.FormsWorkFlow.com DOS - 1667 - f (Rev. 0 2 /1 6 ) Page 2 of 2 CERTIFICATE OF CORRECTION OF (Title of Document to be Corrected) OF (Name of Corporation) Under Section 105 of the Not-for-Profit Corporation Law Filers Name: Mailing Address: City, State and Zip Code: NOTES: 1. This sample form is provided by the New York State Department of State Division of Corporations for filing a certificate of correction. 2. This form is designed to satisfy the minimum filing requirements pursuant to the Not-for-Profit Corporation Law. The Division will accept any other form which complies with the applicable statutory provisions. 3. The Division recommends that this legal document be prepared under the guidance of an attorney. The Division does not provide legal, accounting or tax advice. 4. This certificate must be submitted with a $30 filing fee made payable to the "Department of State." For Office Use Only American LegalNet, Inc. www.FormsWorkFlow.com