PDF document

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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.
Certificate of Correction for a Limited Liability Company
Section 7-16-13 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: How to pay the filing fee:
1. List the entity’s ID number. The ID number can be found The filing fee is payable either by mail via check made
by looking up your entity in the Corporate Database. payable to RI Department of State or in person via cash,
credit card, or check at the Business Services Division, 148
2. List the name of the limited liability company. The entity W. River Street, Ste. 1, Providence, RI 02904. Contact our
name can be verified through our Corporate Database. office at (401) 222-3040 for further information.
3. State the document that needs to be corrected.
4. List the name(s) of the individual(s) that signed the How to confirm your filing:
document being corrected. Entity records are retrievable and viewable through our
5. List the date the document being corrected was filed. website. Successful filings will NOT result in a mailed
6. List the typographical error, error of transcription or other confirmation. Filings that cannot be processed will be posted
technical error, or the defect in the execution of the online and then returned. To confirm your submission and
document. obtain evidence of your filing:
7. State the corrected portion of the document. • Go to our Corporate Database.
• Enter the name or ID number of your entity and click
8. The entity has paid all fees and taxes.
“Search.”
9. An Authorized Person MUST sign and date the form • 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.

How to maintain your status:
The entity is responsible for filing an annual report each
calendar year, excluding the year of incorporation, between
February 1 and May 1. A courtesy reminder will be mailed
to the registered agent prior to February 1 of each year. Be
sure to follow up with your registered agent concerning the
filing of this report. Failure to file an annual report or maintain
a registered agent/office will result in revocation proceedings.

Every entity registered with the RI Department of State -
Business Services Division will have filing requirements with
the Rhode Island Division of Taxation, even if no business
is conducted within Rhode Island for a particular year. Your
business may require additional licensing. Please visit our
website for further information.

FORM 403 - Revised: 7/2023

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        State of Rhode Island
        Department of State - Business Services Division

Certificate of Correction                                                                   STAMP
Limited Liability Company                                                                   FOR
                                                                                            SECRETARY OF STATE 
                                                                                            USE ONLY
       Filing Fee: $50.00

Pursuant to the provisions of RIGL 7-16-13 the undersigned limited liability company hereby 
submits the following Certificate of Correction:
1. Entity ID Number:          2. The name of the limited liability company is:

3. The document to be corrected is:

4. The name of the individual(s) who signed the document being corrected is:

5. The date the document being  corrected was originally filed on:

6. The typographical error, error of transcription or other technical error, or the defect in the execution of the document is:

                                                                                                                             Check the box to indicate an attachment
7. The new corrected portion of the document states as follows:

                                                                                                                             Check the box to indicate an attachment
8. As required by RIGL 7-16-67, the entity has paid all fees and taxes.

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

                                                                                            FORM 403 - Revised:  7/2023

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Under penalty of perjury, I declare and affirm that I have examined this Certificate of Correction, including any 
accompanying attachments, and that all statements contained herein are true and correct.          
Name of Authorized Person      Street Address

City/Town                      State                                                Zip Code

Signature of Authorized Person                                                      Date

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 403 - Revised:  7/2023

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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 403 - Revised:  7/2023

PDF file checksum: 1654402268

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