CERTIFICATE OF AMENDMENT In accordance with § 59.1-69 of the Code of Virginia, 1950, as amended, I/we hereby certify that the business name listed below has previously been recorded in the Chesterfield Circuit Court and the business is hereby amended as follows: Business Name: _______________________________________________________________________ Business Address: ____________________________________ ____________________________________ (City, State & Zip) Description of Amendment:_____________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Name _________________________ (Please Print) Signature _____________________________ (Please Sign) Address ________________________ ________________________ (City, State & Zip) _________________________ (Please Print) _____________________________ (Please Sign) ________________________ ________________________ (City, State & Zip) NOTARY PUBLIC / CHESTERFIELD COUNTY CIRCUIT COURT CLERK USE ONLY Commonwealth/State of ___________________________ City/County of______________________________________ Subscribed and sworn to/affirmed before me on this date by the above-named person(s). ______________________ Date _____________________________________________ CLERK DEPUTY CLERK NOTARY PUBLIC My Commission Expires:_________________________ VIRGINIA: Notary Registration Number: ______________________ In the Clerk's Office of the Circuit Court of the County of Chesterfield, the _______ day of _______________, ________, this certificate was presented and admitted to record at ____________o'clock _________M. Teste: Mary E. Craze, Clerk By:___________________________________________, Deputy Clerk Rev. 04/01/2014 American LegalNet, Inc. www.FormsWorkFlow.com