STATE OF SOUTH CAROLINA SECRETARY OF STATE APPLICATION FOR AN AMENDED CERTIFICATE OF AUTHORITY BY A FOREIGN LIMITED LIABILITY COMPANY TO TRANSACT BUSINESS IN SOUTH CAROLINA TYPE OR PRINT CLEARLY WITH BLACK INK The foreign limited liability company, by a person with authority to do so under the laws of the state or other jurisdiction of its formation, hereby applies for an amended certificate of authority to transact business in South Carolina according to the provisions of Section 33-44-1002 and Sections 33-44-204 of the 1976 South Carolina Code of Laws, as amended: 1. 2. 3. 4. The name of the foreign limited liability as filed on the application for the certificate of authority to transact business in South Carolina is The date of the original application for a certificate of authority to transact business in South Carolina was filed with the South Carolina Secretary of State on___________________________ The name of the State or Country under whose law the company is organized is _____________________________________________________________________________ The street address of the company's principal office is _____________________________________________________________________________ Street Address State _____________________________________________________________________________ City Zip Code 5. The address of the company's current designated office in South Carolina is _____________________________________________________________________________ Street Address State _____________________________________________________________________________ City Zip Code and the name of the Limited Liability Company's agent for service of process at the address is: __________________________________ Name _____________________________________ Signature 6. The name of the company's current agent for service of process in South Carolina is _____________________________________________________________________________ and the street address of the agent for service of process in South Carolina is ____________________________________________________________________________ Street Address State _____________________________________________________________________________ City Zip Code American LegalNet, Inc. www.FormsWorkFlow.com ________________________________ Name of Limited Liability Company 7. [ ] Check this box if the company's duration is only for a specified period. Describe the specified period _____________________________________________________________________________ 8. [ ] Check this box if the company is manager-managed. If so, list the name and business address of each manager a. _____________________________________________________________________________ Name _____________________________________________________________________________ Business Address State _____________________________________________________________________________ City Zip Code b. _____________________________________________________________________________ Name _____________________________________________________________________________ Business Address State _____________________________________________________________________________ City Zip Code 9. [ ] Check this box if one or more members of the foreign limited liability company are to be liable for the company's debt and obligation under a provision similar to Section 33-44-303(c) of the 1976 South Carolina Code of Laws, as amended. 10. The limited liability company adopts the following amendment(s): ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Date ______________________ Signature Name Capacity American LegalNet, Inc. www.FormsWorkFlow.com ________________________________ Name of Limited Liability Company FILING INSTRUCTIONS 1. This application must be accompanied by an original certificate of existence not more than 30 days old (or a record of similar import) authenticated by the Secretary of State or other official having custody of the Limited Liability Company records in the state or country under which it is organized if the amendment involves a name change. File two copies of these articles, the original and either a duplicate original or a conformed copy. If management of a limited liability company is vested in managers, a manager shall execute this form. If management of a limited liability company is reserved to the members, a member shall execute this form. Specify whether a member or manager is executing this form. This form must be accompanied by the filing fee of $110.00 payable to the Secretary of State. Return to: Secretary of State 1205 Pendleton Street, Suite 525 Columbia, SC 29201 2. 3. 4. LLC-APP FOR AN AMENDED CERTIFICATE OF AUTHORITY BY A FRN LLC.doc Form Revised by South Carolina Secretary of State, May 2011 American LegalNet, Inc. www.FormsWorkFlow.com