State of New Hampshire 
                                             
                   APPLICATION FOR AMENDED CERTIFICATE OF AUTHORITY 
                       FOR PROFIT FOREIGN CORPORATION 
                                             
                       NOTES FOR COMPLETING Form 42 (RSA 293-A:15.04) 
 
Notes: 
 
1.   If the name of the corporation does not contain the word "Corporation", "Incorporated" or "Limited" or 
     an abbreviation "Corp.", "Inc." or "Ltd.", insert the name of the corporation  with the  word or 
     abbreviation which it elects to add thereto for use in New Hampshire. 
     OR 
     If a professional corporation, RSA 294-A:7 requires the name shall end in "Professional 
     Corporation", "Professional Association", "Prof. Corp.", "Prof. Ass'n.", "P.C." or "P.A." 
     OR 
     If the corporate name is not available for use in New Hampshire, enter the name to be used in New 
     Hampshire.  In this case a trade name application must be filed with an additional $50.00 fee and a 
     copy of a board of directors' resolution to use the trade name in New Hampshire.  The board of 
     directors' resolution must be signed by the SECRETARY of the corporation.  (A corporate 
     designation cannot be used on the trade name.) 
 
2.   Exact corporate name of corporation making the application. 
 
3.   Signature and title of person signing for the corporation.  Must be signed by chairman of the board of 
     directors, president or another officer; or see RSA 293-A:1.20(f) for alternative signatures. 
 
Mail fee and DATED AND SIGNED ORIGINAL to:  Corporation Division,rdDepartment of State, 107 North Main Street, 
Concord NH 03301-4989.  Physical location:  25 Capitol Street, 3  Floor, Concord, NH 03301. 
 
                                                                                               Form 42 Instruct 

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                         State of New Hampshire 
 
Filing fee:  $35.00                                                                                Form 42 
Use black print or type.                                                                    RSA 293-A:15.04 
 
                    APPLICATION FOR AMENDED CERTIFICATE OF AUTHORITY 
                         FOR PROFIT FOREIGN CORPORATION 
 
PURSUANT TO THE PROVISIONS of the New Hampshire Business Corporation Act, the undersigned 
corporation hereby applies for an amended certificate of authority to transact business in New Hampshire 
and for that purpose submits the following statement: 
 
FIRST:  The name of the corporation is:                                                                         
 
                                                                                                               . 
 
SECOND:  The  name the corporation is currently using in the state of New Hampshire is:                         
 
                                                                                                               . 
 
THIRD:  The state or country of incorporation is:                                                              . 
 
FOURTH:  The date the corporation was authorized to transact business in the state of New Hampshire 
is:                           . 
 
FIFTH:  This application is filed for the following reason (complete all applicable items); 
 
         a.  The corporation has changed its corporate name to:                                                 
 
         b.  The name the corporation will hereafter use in the state of New Hampshire is changed to:           
 
                                                                                                    (Note 1). 
 
         c.  The corporation has changed its period of duration to:                                            . 
 
         d.  The corporation has changed the state or country of its incorporation to                          . 
 
                                                                                                    (Note 2) 
                                                           (Corporate Name) 
 
                                                                                                    (Note 3) 
                                                                   (Signature) 
 
                                                           (Print or type name) 
 
                                                                                                    (Note 3) 
                                                                      (Title) 
 
                                          Date signed:                                             

DISCLAIMER:  All documents filed with the Corporation Division become public records and will be available for 
public inspection in either tangible or electronic form. 
 
Mail fee and DATED AND SIGNED ORIGINAL to:  Corporation Division,rdDepartment of State, 107 North Main Street, 
Concord NH 03301-4989.  Physical location:  25 Capitol Street, 3  Floor, Concord, NH 03301. 
 
                                                                                            Form 42  (7/2012)