Entity Number: ________________________
Non-Refundable Processing Fee: $17.00
Pursuant to UCA §16-6a part 10, the individual named below causes this Amendment to the Articles of
Incorporation to be delivered to the Utah Division of Corporations for filing, and states as follows:
1. The name of the corporation is: _____________________________________________________________
2. The date the following amendment(s) was adopted: _____________________________________________
3. If changing the corporation name, the new name of the corporation is:
_____________________________________________________________
4. The text of each amendment adopted (include attachment if additional space needed):
5. Indicate the manner in which the amendment(s) was adopted (mark only one):
The amendment was adopted by the board of directors or incorporators without member action and
member action was not required.
The amendment was adopted by the members AND the number of votes cast for the amendment by each
voting group entitled to vote separately on the am
endment was sufficient for approval by that voting group.
6. Delayed effective date (if not to be effective upon filing) ______________
____(00''<<<<not to exceed 90 days)
Under penalties of perjury, I declare that this Amendment of Articles of Incorporation has been examined by me
and is, to the best of my knowledge and belief, true, correct and complete.
By: ________________________________________________ Title: __________________________________
Dated this ________ day of ______________________________________, 20_______
State of Utah
DEPARTMENT OF COMMERCE
Division of Corporations & Commercial Code
Articles of Amendment to Articles of Incorporation (Non-Profit)
Under GRAMA {63G-2-201}
, all registration information maintained by the Division is classified as public record. For confidentiality purposes,
you may use the business entity
physical address rather than the residential or private address of any individual affiliated with the entity.
This form cannot be hand written.
Sign here after the form is printed
Mailing/Faxing Information:
www.corporations.utah.gov/contactus.html
www.corporations.utah.gov
