PENNSYLVANIA DEPARTMENT OF STATE
BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS
Read all instructions prior to completing. This form may be submitted online at https://www.corporations.pa.gov/.
Fee: $70
Check one: Limited Partnership (§ 8512) Limited Liability Company (§ 8951)
In compliance with the requirements of the applicable provisions (relating to certificate of amendment), the
undersigned, desiring to amend its Certificate of Limited Partnership/Organization, hereby certifies that:
1. The name of the limited partnership/limited liability company is:
2. The date of filing of the original Certificate of Limited Partnership/Organization: _________________
Date (MM/DD/YYYY)
4. Check, and if appropriate complete, one of the following:
The amendment shall be effective upon filing this Certificate of Amendment in the Department of
State.
The amendment shall be effective on: at .
Date (MM/DD/YYYY) Hour (if any)
3. Check, and if appropriate complete, one of the following:
The amendment adopted by the limited partnership/limited liability company, set forth in full, is as
follows:
The amendment adopted by the limited partnership/limited liability company is set forth in full in
Exhibit A attached hereto and made a part hereof.
Return document by mail to:
Name
Address
City State Zip Code
Return document by email to: ________________________________
Certificate of Amendment - Domestic
Limited Partnership/Limited Liability Company
DSCB:15-8512/8951 (rev. 7/2015)
*8512*
8512
DSCB:15-8512/8951–2
5. Check if the amendment restates the Certificate of Limited Partnership/Organization:
The restated Certificate of Limited Partnership/Organization supersedes the original Certificate of
Limited Partnership/Organization and all previous amendments thereto.
IN TESTIMONY WHEREOF, the undersigned
limited partnership/limited liability company has
caused this Certificate of Amendment to be executed
this
day of , .
Name of Limited Partnership/Limited Liability Company
Signature
Title
DSCB:15-8512/8951–Instructions
Pennsylvania Department of State
Bureau of Corporations and Charitable Organizations
P.O. Box 8722
Harrisburg, PA 17105-8722
(717) 787-1057
Web site: www.dos.pa.gov/corps
General Instructions for Completion of Form:
A. Typewritten is preferred. If handwritten, the form shall be legible and completed in black or blue-black ink in order
to permit reproduction. The nonrefundable filing fee for this form is $70 made payable to the Department of State.
Checks must contain a commercially pre-printed name and address.
Enter the name and mailing address to which any correspondence regarding this filing should be sent. This field must
be completed for the Bureau to return the filing. If the filing is to be returned by email, an email address must be
provided. An email will be sent to address provided, containing a link and instructions on how a copy of the filed
document or correspondence may be downloaded. Any email or mailing addresses provided on this form will become
part of the filed document and therefore public record.
B. The following, in addition to the filing fee, shall accompany this form:
(1) If the amendment effects a change of name, two copies of a completed form DSCB:15-134B
Docketing Statement-Changes).
(2) If the amendment effects a change of name, any necessary copies of form DSCB:19-17.2 (Consent to
Appropriation of Name).
(3) Any necessary governmental approvals.
C. This form and all accompanying documents shall be mailed to the above stated address.
Instructions for Amendment for Domestic Limited Liability Company Only (D):
D. A Certificate of Organization may be amended for any other proper purpose, including a restatement of the certificate
in its entirety, omitting any matter that is obsolete or no longer required. Form DSCB:15-8906 (Certificate of Change
of Registered Office) may be used if the only change in the certificate is a change of registered office.
Instructions for Amendment for Domestic Limited Partnership Only (E-G):
E.
This form shall be executed by any general partner and each other entity designated in the form as a new general
partner. If this form is executed by an individual or by multiple parties, the execution portion of the form should be
modified accordingly.
F. This form shall be filed upon the occurrence of any of the following events:
(1) A change in the name of the limited partnership.
(2) The admission of a new general partner.
(3) The withdrawal of a general partner not reflected by the filing of form DSCB:15-8524/8532 (Certificate of
Withdrawal by General Partner-Limited Partnership/From Limited Partnership). This form should be used
where the withdrawal is accompanied by another change in the Certificate of Limited Partnership, e.g., the
addition of a new general partner.
G. A Certificate of Limited Partnership may be amended for any other proper purpose, including a restatement of the
certificate in its entirety, omitting any matter that is obsolete or no longer required. Form DSCB:15-
1507/4144/5507/6144/8506 (Statement of Change of Registered Office) shall be used if the only change in the
certificate is a change of registered office.