AMENDED CERTIFICATE OF ORGANIZATION
LIMITED LIABILITY COMPANY
Submit in Duplicate
Robert B. Evnen, Secretary of State
P.O. Box 94608
Lincoln, NE 68509
(402) 471-4079
www.sos.ne.gov
Name of Limited Liability Company
________________________________________________________________________
Date Certificate of Organization was filed ______________________________________
Please mark the changes this amendment makes to the certificate as most recently
amended or restated and provide the appropriate changes.
____
Name of Limited Liability Company ______________ ______________________
________________________________________________________________________
____
Professional Service being rendered by the Limited Liability Company
_________________________________________________________________________
____
Street and mailing address of the Designated Office
________________________________________________________________________
____
Name of Registered Agent ____________________________________________
____
Street, mailing address and post office box (if any) of Registered Agent
________________________________________________________________________
____
Any other changes to the certificate of organization
________________________________________________________________________
(attach additional pages if needed)
Effective date if other than the date filed _____________
___________________________________ ___________________________________
Signature of Authorized Representative Printed Name of Authorized Representative Date
FILING FEE: $15.00 plus $5.00 per additional page
Revised 01/10/2019
Neb. Rev. Stat. §21-118
