Foreign Nonprofit Corporation This Box For Office Use Only Page 1 of 1 See attached detailed instructions □ Standard Filing Fee $20.00 □ Filing Fee with Expedited Service $70.00 UBI Number: AMENDED CERTIFICATE OF AUTHORITY Chapter 24.03 RCW SECTION 1 NAME OF CORPORATION: (as currently recorded with the Office of the Secretary of State) SECTION 2 DATE ORIGINAL WASHINGTON CERTIFICATE OF AUTHORITY WAS ISSUED: SECTION 3 AMENDMENTS TO CERTIFICATE: (if necessary, attach additional information) *For name changes: A “file stamped” copy of the amendment effecting the name change is required from the original state of incorporation/formation.* SECTION 4 EFFECTIVE DATE OF THE AMENDED CERTIFICATE: (please check one of the following) □ □ Upon filing by the Secretary of State Specific Date: __________________ (Specified effective date must be within 30 days AFTER the Amended Certificate has been filed by the Office of the Secretary of State) SECTION 5 SIGNATURE OF OFFICER: This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct. X __________________________________________________________________________ Signature of Officer Printed Name/Title Date Phone Number Foreign Nonprofit Corporation – Amended Washington Secretary of State Revised 07/10 American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS – FOREIGN NONPROFIT AMENDED CERTIFICATE Please complete all sections of the Amended Certificate of Authority. USE DARK INK ONLY. For an electronic, fillable version of this form, please visit our website at www.sos.wa.gov/corps UBI Number: Please enter your existing Unified Business Identifier (UBI Number) as currently recorded with the Office of the Secretary of State, in the box in the upper right hand corner of page 1. Section 1 Indicate the corporation’s name as it currently is recorded with the Office of the Secretary of State. Section 2 Provide the date the original Certificate of Authority was issued in Washington State. Section 3 Indicate the text of your amendment here: If necessary, include an attachment with more detail. Do not use this form to update officers, directors, or the principal place of business. Please contact our office for the appropriate form 360-725-0377. Section 4 Choose either upon filing by the secretary of state or you may indicate an effective date. The effective date can be up to 30 days AFTER filing of the Amended Certificate of Authority by the Office of the Secretary of State. Section 5 The signer must be an officer (President, Vice President, Secretary or Treasurer) or an official with authorized capacity on behalf of the corporation. Additional Information: FEES: The filing fee for Articles of Amendment is $20.00. If expedited service is requested, include an additional $50.00 and write “EXPEDITE” on the outside of the envelope. Make the checks or money orders payable to “Secretary of State”. (ALL fees are non-refundable) Important Note: If your nonprofit organization is currently fundraising, or plans to fundraise from the public, it may also be required to register with the Charities Program of the Secretary of State. Registration with the Charities Program is separate from and in addition to filings required under corporate law. Please visit the Charities Program website at www.sos.wa.gov/charities/ to review the registration requirements and forms for Charitable Organizations. Mail completed forms and payment to: Secretary of State Corporation Division 801 Capitol Way S PO Box 40234 Olympia WA 98504-0234 If you have questions, need assistance, or would like to provide feedback please visit the Corporations Division website at www.sos.wa.gov/corps or call 360-725-0377. Foreign Nonprofit Corporation – Amended Washington Secretary of State Print Form Revised 07/10 American LegalNet, Inc. www.FormsWorkFlow.com