Entity Number: ___________________
Non-Refundable Processing Fee: $37.00
Pursuant to UCA §16-10a 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. If providing for an exchange, reclassification or cancellation of issued shares, provisions for implementing the
amendment if not contained in the amendment itself:
____________________________________________________________________________________________
6. Indicate the manner in which the amendment(s) was adopted (mark only one):
______ Adopted by Incorporators or Board of Directors – Shareholder action not required.
______ Adopted by Shareholders – Number of votes cast for amendment was sufficient for approval.
7. Delayed effective date (if not to be effective upon filing) _______________________ (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: __________________________________
Date: _____________________________________
State of Utah
DEPARTMENT OF COMMERCE
Division of Corporations & Commercial Code
Articles of Amendment to Articles of Incorporation (Profit)
Under GRAMA {63-2-201}, 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 must be type written or computer generated.
Sign here after the form is printed
Mailing/Faxing Information:
www.corporations.utah.gov
www.corporations.utah.gov/contactus.html
