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 (§ 8622) Limited Liability Company (§ 8822)
In compliance with the requirements of the applicable provisions (relating to Amendment or Restatement of
Certificate), the undersigned, desiring to amend or restate its Certificate of Limited Partnership/Certificate of
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/Certificate of Organization is:
__________________________
Date (MM/DD/YYYY)
3. The current registered office address as on file with the Department of State. Complete part (a) OR (b) – not both:
(a) _________________________________________________________________________________________________
Number and street City State Zip County
(b) c/o: ______________________________________________________________________________________________
Name of Commercial Registered Office Provider County
4. 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.
5. Effective date of amendment (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)
Return document by mail to:
Name
Address
City State Zip Code
Return document by email to:
_________________________________
DSCB:15-8622/8822–2
6. Check if the amendment restates the Certificate of Limited Partnership/Certificate of Organization:
The restated Certificate of Limited Partnership/Certificate of Organization supersedes the original Certificate of
Limited Partnership/Certificate of 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 by a duly authorized person thereof this ___________ day of
___________________________, 20
.
______________________________________________________________
Name of Limited Partnership/Limited Liability Company
______________________________________________________________
Signature
______________________________________________________________
Title
DSCB:15-8622/8822Instructions
Pennsylvania Department of State
Bureau of Corporations and Charitable Organizations
P.O. Box 8722
Harrisburg, PA 17105-8722
(717) 787-1057
Website: www.dos.pa.gov/corps
General Information
Typewritten is preferred. If handwritten, the form must be
legible and completed in black or blue-black ink in order to
permit reproduction. The nonrefundable filing fee for this
form is $70.
Checks should be made payable to the Department of State.
Checks must contain a commercially pre-printed name and
address.
This form and all accompanying documents, including any
necessary governmental approvals, shall be mailed to the
address stated above.
Who should file this form?
A certificate of limited partnership may be amended or
restated at any time.
A limited partnership shall promptly deliver to the Department
of State for filing an amendment to its certificate of limited
partnership to reflect:
(1) the admission of a new general partner;
(2) the dissociation of a person as a general partner;
(3) the appointment of a person to wind up the
partnership’s activities and affairs under section 8682(c) or
(d) (relating to winding up and filing of certificates).
If a general partner knows that any information in a filed
certificate of limited partnership is inaccurate, the general
partner shall promptly cause the certificate to be amended.
Form DSCB: 15-1507/5507/8625/8825 (Statement or
Certificate of Change of Registered Office) may be used if the
only change in the certificate is a change of registered office.
A certificate of organization may be amended or restated at
any time. If a member of a member-managed limited liability
company, or a manager of a manager-managed limited
liability company, knows that any information in a filed
certificate of organization is inaccurate, the member or
manager shall promptly cause the certificate to be amended.
Form DSCB: 15-1507/5507/8625/8825 (Statement or
Certificate of Change of Registered Office) may be used if the
only change in the certificate is a change of registered office.
Applicable Law
For amendment and restatement requirements for limited
partnerships, see 15 Pa.C.S. § 8622. For amendment and
restatement requirements for limited liability companies, see
15 Pa.C.S. § 8822. Statutes are available on the Pennsylvania
General Assembly website, www.legis.state.pa.us
, by
following the link for Statutes.
Form Instructions
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.
1. Give the exact name of the limited partnership/limited
liability company. The name on this line must match exactly
the association name as shown in Department’s records at the
time the Certificate of Amendment is submitted for filing.
This field is required.
2. Give the date of filing of the original Certificate of Limited
Partnership/Certificate of Organization (month, day and
year). This field is required.
3. Current address. The address provided must be the limited
partnership/limited liability company’s registered office
address (a) or Commercial Registered Office Provider (b) as
on file with the Department of State at the time the Certificate
of Amendment is submitted for filing. This field is required.
4. Set forth the amendment in full or attach as an exhibit.
This field is required.
5. Any date specified as the effective date of the Certificate of
Amendment must be a future effective date (after the date and
time of its delivery to the Department). A specified effective
date may not be retroactive (prior to the date and time of the
Certificate’s delivery to the Department). If a delayed
effective date is specified, but no time is given, then the time
used will be 12:01 a.m. on the date specified.
If neither option for effective date is checked, it will be
presumed that no specified delayed effective date is intended
and the document will be effective upon filing. This field is
required.
6. To restate its certificate of limited partnership, a limited
partnership must deliver to the Department for filing a
certificate of amendment that is designated as a restatement
and includes a statement that the restated certificate
supersedes the original certificate and all previous
amendments. Similarly, to restate its certificate of
organization, a limited liability company must deliver to the
Department for filing a certificate of amendment that is
designated as a restatement and includes a statement that the
restated certificate supersedes the original certificate and all
previous amendments.
Signature and Verification
An authorized representative of the association must sign the
Certificate of Amendment. See 15 Pa.C.S. § 8623 and § 8823
(both relating to Signing of filed documents), for the required
signatures for documents submitted by limited partnerships
and limited liability companies, respectively. Signing a
document delivered to the Department for filing is an
affirmation under the penalties provided in 18 Pa.C.S. § 4904
(relating to unsworn falsification to authorities) that the facts
stated in the document are true in all material respects. This
field is required.
Attachments
The following, in addition to the filing fee, shall accompany
this form:
If the amendment effects a change of name,
(1) One copy of a completed form DSCB:15-134B
(Docketing Statement-Changes).
(2) Any necessary copies of form DSCB:19-17.2
(Consent to Appropriation of Name).
(3) Any necessary governmental approvals.