Form 3805—General Information
(Statement of Correction)
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant
code provisions. This form and the information provided are not substitutes for the advice and
services of an attorney.
Commentary
A Statement of Correction by a Dental Support Organization (DSO) is addressed by Section
73.005 of the Texas Business & Commerce Code, chapter 73, and Section 98.4 of the secretary
of state’s administrative rules found in 1 Texas Administrative Code Chapter 98.
Pursuant to sections 73.005, Bus. & Comm. Code and 1 TAC §98.4, any changes to the
information given on the DSO registration statement must be filed with the secretary of state
quarterly. This form may be used to update the information as necessary.
A Statement of Corrrection is due according to the following schedule:
Quarter Statement of Correction Due:
First (Jan 1-Mar 31) Not later than the 45
th
day after March 31
Second (Apr 1-Jun 30) Not later than the 45
th
day after June 30
Third (July 1-Sept 30) Not later than the 45
th
day after Sept 30
First (Oct 1-Dec 31) Not later than the 45
th
day after Dec 31
Instructions for Form
Preliminary Information: Select the box indicating for which quarter the report is being
filed and indicate the year.
DSO Information: The registration must set forth the DSO’s legal name, registration
number and the date of the last filed registration
Statement of Correction: A statement indentifying and correcting any changes to the
information in the DSO registration statement.
Execution: The registration must be signed by a person authorized to act by or on behalf
of the DSO.
Payment and Delivery Instructions: The filing fee for a DSO Statement of Correction
is $50. Fees may be paid by personal checks, money orders, LegalEase debit cards or
American Express, Discover, MasterCard, and Visa credit cards. Checks or money
orders must be payable through a U.S. bank or financial institution and made payable to
the secretary of state. Fees paid by credit card are subject to a statutorily authorized
convenience fee of 2.7 percent of the total fees.
The completed form, along with the filing fee and necessary attachments may be mailed to
Secretary of State, Registrations Unit, P.O. Box 13193, Austin, Texas 78711-3193 or delivered
to the James Earl Rudder Office Building, 1019 Brazos, 1
st
Floor, Austin, Texas 78701.
Form 3805 Instruction Page 1 – Do not submit with filing.
