PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS Certificate of Amendment of Registration-Foreign (15 Pa.C.S. § 8585) Limited Partnership Registered Limited Liability Partnership Registered Limited Liability Company Name Document will be returned to the name and address you enter to the left. Address City State Zip Code Fee: $250 In compliance with the requirements of 15 Pa.C.S. § 8585 (relating to amended certificate of registration), the undersigned, desiring to change the arrangements or other facts described in its application for registration as a foreign limited partnership, foreign registered limited liability partnership or a foreign limited liability company hereby states that: 1. The name under which the association was registered (or last registered) to do business in the Commonwealth of Pennsylvania is: 2. The (a) address of its initial registered office in this Commonwealth or (b) name of its commercial registered office provider and the county of venue is: (a) Number and street City State Zip (b) Name of Commercial Registered Office Provider County County c/o: 3. (If applicable): The address of the registered office of the association in this Commonwealth is hereby changed to: (a) Number and street City (b) Name of Commercial Registered Office Provider State Zip County County c/o: American LegalNet, Inc. www.FormsWorkFlow.com DSCB:15-8585-2 4. If applicable: The association desires that its registration be amended to change its name to: 5. If applicable: The association desires that its registration be amended as follows in order to reflect arrangements or other facts that have changed. IN TESTIMONY WHEREOF, the undersigned has caused this Certificate of Amendment of Registration to be signed by a duly authorized officer, member or manager thereof this day of , . Name of Association Signature Title American LegalNet, Inc. www.FormsWorkFlow.com DSCB: 15-8585 Department of State Bureau of Corporations and Charitable Organizations P.O. Box 8722 Harrisburg, PA 17105-8722 (717) 787-1057 Web site: www.dos.state.pa.us/corps Instructions for Completion of Form: A. Typewritten is preferred. If not, the form shall be completed in black or blue-black ink in order to permit reproduction. The filing fee for this form is $250 made payable to the Department of State. B. Under 15 Pa.C.S. § 135(c) (relating to addresses) an actual street or rural route box number must be used as an address, and the Department of State is required to refuse to receive or file any document that sets forth only a post office box address. C. The following, in addition to the filing fee, shall accompany this form: (1) If the amendment effects a change of name, one copy of a completed form DSCB:15-134B (Docketing Statement-Changes). (2) Any necessary copies of form DSCB:17.2.3 (Consent to Appropriation of Name). (3) Any necessary governmental approvals. D. Under 15 Pa.C.S. § 8585(b) upon the filing of this form the application for registration as a foreign limited partnership, a foreign registered limited liability partnership, or a foreign limited liability company shall be amended accordingly and no amended certificate will be issued to the association by the Department. E. This form and all accompanying documents shall be mailed to the address stated above. American LegalNet, Inc. www.FormsWorkFlow.com