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State of Rhode Island                                                                                 This legal document 
Department of State - Business Services Division                                                         should be typed.
                                                                                                                          All illegible 
                                                                                                                          documents 
Instructions for Filing                                                                               will be REJECTED.
Application for Amended Certificate of Authority
Section 7-1.2-1411 of the General Laws of Rhode Island, 1956, as amended
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant statutory provision.  
This form and the information provided are not substitutes for the advice and services of an attorney and/or tax specialist.

All filings are public records under RIGL 38-2-1, et seq. This means all information is available to the public by a variety of 
methods including, without limitations, inspections at our office, telephone inquiries and electronically through our online database.

How to complete the form:
1.  List the entity’s ID number. The ID number can be found      issue, itemized by class and series if applicable. Include 
by looking up your entity in the Corporate Database.             a $10 filing fee with the statement. 
2.  List the name of the corporation. The entity name can be     Complete sections 8a and 8b in the following manner:
verified through our Corporate Database.                             a.  List the percentage of the corporation’s property to be 
3.  List the state or country under whose laws the                   located in Rhode Island (obtained from worksheet).
corporation was incorporated.                                        b.  List the percentage of the corporation’s total business 
4.  List the date the RI Department of State issued the              that will be conducted in Rhode Island (obtained from 
Certificate of Authority.                                            worksheet). 
5.  If the entity’s name has changed, state the new name.        9.  If the entity is changing its principal place of business, 
You may check name availability on our website. If               indicate the new address. If there is no change to the 
there is no change to the entity name, check the box to          entity’s principal address, check the box to indicate no 
indicate no change.                                              change. 
6.  Complete section 6 ONLY if you will be conducting            10. This section acknowledges that the entity has paid all 
business under a different name in Rhode Island. If the          required fees and taxes.
name of your corporation does not include the words              11. This section acknowledges that except as herein 
“corporation,” “company,” “incorporated,” “limited,”             modified, the original Application for Certificate of 
or one of these abbreviations: “inc.,” “co.,” “corp.,”           Authority continues in full force and effect and is hereby 
or “ltd”, you MUST complete section 6(a).                        confirmed, ratified and incorporated by reference into this 
a.  ONLY complete section 6(a) if your entity’s name             Application for Amended Certificate of Authority.
does not does not include the words “corporation,”               12. Check “Date received” unless you prefer that the 
“company,” “incorporated,” “limited,” or one of these            Application go into effect at a later date than when it is 
abbreviations:   “inc.,” “co.,” “corp.,” or “ltd.” To            received in this office. Any later date must be within 90 
complete section 6(a) re-write the name so that it               days of filing.
includes one of these words or abreviations.                     13. An Authorized Officer MUST sign and date the form.
b.  Complete section 6(b) if the new name is unavailable 
for use in Rhode Island. If this is the case, you must 
also file a Fictitious Business Name Statement, Form 
624A, attached to this application. The Fictitious               How to complete the worksheet:
Business Name Statement has a $50 filing fee.                    This section is to be completed to obtain the percentages
7.  If the entity’s purpose is changing, state so. If there is   required in sections 8a and 8b on the form.  
not a change to the purpose check the box to indicate no 
                                                                 1.  Complete sections 1a, 1b and 1c in the folowing manner: 
change.
                                                                     a.  State the estimated value of ALL property owned by 
8.  If there is an increase of authorized shares, list the total 
                                                                        the corporation, regardless of its location. 
number of shares the corporation has the authority to 
issue, itemized by class and series if applicable. The               b.  State the estimated value of the property owned by 
filing fee for an increase in authorized shares is $235.                the corporation that will be located in Rhode Island.
If there is not a change to the total authorized shares, 
check the box to indicate no change. If there is a                   c.  Estimate the percentage of the corporation’s 
decrease in the authorized shares, DO NOT complete                      property to be located in Rhode Island. 
this form. To decrease the number of total authorized 
shares, you must submit to this office a statement listing 
the number of shares the corporation has authority to 
                                                                                               FORM 151 - Revised:  12/2023



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                                                                                                         !
      State of Rhode Island                                                                        This legal document 
      Department of State - Business Services Division                                             should be typed.
                                                                                                   All illegible 
                                                                                                   documents 
Instructions for Filing (continued)                                                                will be REJECTED.
Application for Amended Certificate of Authority
Section 7-1.2-1411 of the General Laws of Rhode Island, 1956, as amended.

How to complete the worksheet (continued):                    How to maintain your status:
2.  Complete sections 2a, 2b and 2c in the following maner:   The entity is responsible for filing an annual report each 
  a.  Estimate the gross amount of ALL business the           calendar year, excluding the year of incorporation, between 
      corporation will do in the upcoming year.               February 1 and May 1. A courtesy reminder will be mailed 
                                                              to the registered agent prior to February 1 of each year. Be 
  b.  Estimate the gross amount of business that will         sure to follow up with your registered agent concerning the 
      specifically be done in Rhode Island in the upcoming    filing of this report. Failure to file an annual report or maintain 
      year.                                                   a registered agent/office will result in revocation proceedings. 
  c.  Calculate the estimated percentage of the 
                                                              Every entity registered with the RI Department of State - 
      corporation’s total business that will be conducted in 
                                                              Business Services Division will have filing requirements with 
      Rhode Island. 
                                                              the Rhode Island Division of Taxation, even if no business 
                                                              is conducted within Rhode Island for a particular year. Your 
How to pay the filing fee:                                    business may require additional licensing. Please visit our 
The filing fee is payable either by mail via check made       website for further information.
payable to RI Department of State or in person via cash, 
credit card, or check at the Business Services Division, 148  Your entity may also be required to report (and update, if 
W. River Street, Ste. 1, Providence, RI 02904. Contact our    necessary) information about the business and its beneficial 
office at (401) 222-3040 for further information.             owners to the U.S. Department of Treasury’s Financial 
                                                              Crimes Enforcement Network (FinCEN). Visit FinCEN.gov/
                                                              boi for more information.
How to confirm your filing:
Entity records are retrievable and viewable through our 
website. Successful filings will NOT result in a mailed 
confirmation. Filings that cannot be processed will be posted 
online and then returned. To confirm your submission and 
obtain evidence of your filing:
•  Go to our Corporate Database.
•  Enter the name or ID number of your entity and click 
  “Search.”
•  Click on the link to your entity record, scroll down, 
  select “All Filings” and then “View Filing.”
• Identify the desired type of filing and click on “PDF” 
  under “View PDF” to view and print the record.

                                                                                              FORM 151 - Revised:  12/2023



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        State of Rhode Island
        Department of State - Business Services Division

Application for Amended Certificate of Authority
FOREIGN Business Corporation                                                                                                                                                                                                          STAMP
                                                                                                                                                                                                                                      FOR
        Filing Fee:  $75.00 ($235 for an increase in authorized shares)                                                                                                                                                               SECRETARY OF STATE 
                                                                                                                                                                                                                                      USE ONLY
        
Pursuant to the provisions of RIGL 7-1.2-1411, the undersigned foreign corporation hereby applies for an 
Amended Certificate of Authority to transact business in the State of Rhode Island, and for that purpose submits 
the following statement:
1. Entity ID Number:               2. The name of the corporation is:

3. It is incorporated under the laws of:                 4. List the date the Certificate of Authority was issued by the 
                                                         RI Department of State:

5. If the entity’s name has changed,
state the new name:
                                                                                                                                                                                                                            Check box to indicate no change
6. The name, if different, which it elects to use in Rhode Island is:
(a) If the name of the corporation in its jurisdiction of incorporation does not contain the word “corporation,” “company,” 
“incorporated,” or “limited,” or an abbreviation thereof, then list the name of the corporation with the addition of one of the 
above corporate endings for use in Rhode Island:

(b) If the corporate name is not available in Rhode Island, then set forth below the fictitious name under which the 
corporation will transact business in Rhode Island as stated in the “Fictitious Business Name Statement” to be filed with this 
application:

7. If the entity’s purpose is changing complete the following section:  *The new purpose should include ALL activity to be 
transacted in the State of Rhode Island.

Check the box to indicate an attachment                                                                          Check box to indicate no change

MAIL TO:
Division of Business Services
148 W. River Street, Providence, Rhode Island 02904-2615                                                                                                                                                                              STAMP
Phone: (401) 222-3040 
                                                                                                                                                                                                                                      FOR
Website: www.sos.ri.gov                                                                                                                                                                                                               SECRETARY OF STATE 
                                                                                                                                                                                                                                      USE ONLY

If you have any questions, please call us at (401) 222-3040, Monday through Friday, 
between 8:30 a.m. and 4:30 p.m., or email corporations@sos.ri.gov.
                                                                                                                                                                                                                                      FORM 151 - Revised:  12/2023



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8. If there has been an increase in the authorized shares of the corporation complete the following section:
*List ALL authorized shares as of this amendment.
       NUMBER OF SHARES                        CLASS                                     SERIES                                  PAR VALUE OR STATE NO PAR VALUE
                                                                                                       
     ________________      ________________    ______________________                                  ___________________________
     
     ________________      ________________    ______________________                                  ___________________________  
  
     ________________      ________________    ______________________                                  ___________________________  
                                                                                                                                            
Check the box to indicate an attachment                                                                          Check box to indicate no change
8a. An estimate, as a percentage, of the proportion that the estimated value of the property 
of the corporation to be located within this state during the following year bears to the value 
of all property of the corporation to be owned during the following year, wherever located.                                                 ______________ % 
(Note: Percentage obtained from worksheet.)
8b. An estimate, as a percentage, of the proportion of the gross amount of business to 
be transacted by the corporation at or from places of business in Rhode Island during 
the following year compared to the gross amount thereof which will be transacted by the                                                          ______________ %
corporation during the following year. (Note: Percentage obtained from worksheet.)
9. If the entity’s principal place of business is changing indicate the new principal address:

                                                                                                                                         Check box to indicate no change
10. As required by RIGL 7-1.2-105, the corporation has paid all fees and taxes.
11. Except as herein modified, the original Application for Certificate of Authority continues in full force and effect and is 
hereby confirmed, ratified and incorporated by reference into this Application for Amended Certificate of Authority.
12. Date when the Amended Certificate of Authority will be effective: CHECK ONE BOX ONLY
     Date received (Upon filing)

     Later effective date (Date must be no more than 90 days from the date of filing) ____________________________

13. Under penalty of perjury, I declare and affirm that I have examined this Application for Amended Certificate of Authority, 
including any accompanying attachments, and that all statements contained herein are true and correct.
Name of Authorized Officer of the Corporation                                                                                               Date

Signature of Authorized Officer

If you have any questions, please call us at (401) 222-3040, Monday through Friday, 
between 8:30 a.m. and 4:30 p.m., or email corporations@sos.ri.gov.
                                                                                                                                                FORM 151 - Revised:  12/2023



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        State of Rhode Island
        Department of State - Business Services Division

License Fee Worksheet 
for an Application for Amended Certificate of Authority by a Foreign Business Corporation
Section 7-1.2-1411 of the General Laws of Rhode Island, 1956, as amended

Use worksheet to calculate the corporation’s license fee:
1.  (a)  Estimate, in dollars, the value of all property to be                                                                                        (b) Estimate, in dollars, the value of the corporation’s 
owned by the corporation for the following year, wherever                                                                                             property to be located within Rhode Island during the 
located:                                                                                                                                              following year:
                     $ _______________________                                                                                                                             $ _______________________

c) An estimate, as a percentage, of the proportion that the estimated value of the property of the corporation to be located 
within this state during the following year bears to the value of all property of the corporation to be owned during the 
following year, wherever located: (Note: Divide (1b) by (1a) and multiply by 100 to obtain the percentage.)

______________% 

2. (a) Estimate, in dollars, the gross amount of business to be                                                                                       (b) Estimate, in dollars, the gross amount of business to be 
transacted by the corporation during the following year:                                                                                              transacted by the corporation at or from places of business 
                                                                                                                                                      in Rhode Island during the following year:
                                                                                                                                                      
                   $________________________                                                                                                                             $ ________________________

(c) An estimate, as a percentage, of the proportion of the gross amount of business to be transacted by the corporation at 
or from places of business in Rhode Island during the following year compared to the gross amount thereof which will be 
transacted by the corporation during the following year: (Note: Divide (2b) by (2a) and multiply by 100 to obtain the 
percentage.)

______________% 

*This worksheet is NOT a public document and will NOT be imaged.

MAIL TO:
Division of Business Services
148 W. River Street, Providence, Rhode Island 02904-2615
Phone: (401) 222-3040 
Website: www.sos.ri.gov 

If you have any questions, please call us at (401) 222-3040, Monday through Friday, 
between 8:30 a.m. and 4:30 p.m., or email corporations@sos.ri.gov.
                                                                                                                                                                     FORM 151 - Revised:  12/2023



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        State of Rhode Island
        Department of State - Business Services Division

Filer Contact Information
        
In the event our office needs more information in order to complete the filing of this document, we ask for the filer’s contact 
information. All fields are REQUIRED.

Name:                                                                               Date:

Entity Name:

Street Address:

City:                                State:                                         Zip Code:

Email Address:                                                                      Phone Number: 

If you have any questions, please call us at (401) 222-3040, Monday through Friday, 
between 8:30 a.m. and 4:30 p.m., or email corporations@sos.ri.gov.
                                                                                         FORM 151 - Revised:  12/2023






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