State of New Hampshire 
 
             APPLICATION FOR AMENDED CERTIFICATE OF REGISTRATION 
                       OF A FOREIGN NONPROFIT CORPORATION 
             NOTES FOR COMPLETING Form FNP-3 (RSA 292:5-b & RSA 293-A:15.04) 
 
Notes: 
 
1. Exact corporate name of corporation making the application. 
 
2. 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 FNP-3 Instruct 

Print     Reset
                         State of New Hampshire 
 
Filing fee: $25.00                                                                               Form FNP-3 
Use black print or type.                                                                         RSA 292:5-b & 
                                                                                              RSA 293-A:15.04 
 
                   APPLICATION FOR AMENDED CERTIFICATE OF REGISTRATION 
                           OF A FOREIGN NONPROFIT CORPORATION 
 
PURSUANT TO THE PROVISIONS of section 5-b of Voluntary Corporations and Associations and 
section 15.04 of the New Hampshire Business Corporation Act, the undersigned corporation hereby 
applies for an amended certificate of registration 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  
 
                                                                                                               . 
 
      c. The corporation has changed its period of duration to                                      . 
 
      d. The corporation has changed the state or country of its incorporation to                              . 
 
                                                                                                   (Note 1) 
                                                                (Corporate Name) 
 
                                                                                                   (Note 2) 
                                                                (Signature) 
 
                                                                (Print or type name) 
 
                                                                                                   (Note 2) 
                                                                      (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, 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 FNP-3  (7/2012)