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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 an Amended Certificate of Authority for a Foreign Non-Proft Corporation
Section 7-6-82 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 corporation’s ID number. The ID number can                                                                                                                                                    The filing fee is payable either by mail via check made 
   be found by looking up your entity in the Corporate                                                                                                                                                     payable to RI Department of State or in person via cash, 
   Database.                                                                                                                                                                                               credit card, or check at the Business Services Division, 148 
2.  List the name of the corporation. The entity name can be                                                                                                                                               W. River Street, Ste. 1, Providence, RI 02904. Contact our 
   verified through our Corporate Database.                                                                                                                                                                office at (401) 222-3040 for further information. 
3.  List the date the RI Department of State issued the 
   Certificate of Authority. This date can be verified through                                                                                                                                             How to confirm your filing:
   our Corporate Database.                                                                                                                                                                                 Entity records are retrievable and viewable through our 
4.  If the entity’s name has changed, state the new name.                                                                                                                                                  website. Successful filings will NOT result in a mailed 
   The new name must match the name on your Certificate                                                                                                                                                    confirmation. Filings that cannot be processed will be posted 
   of Good Standing/Letter of Status from the state or                                                                                                                                                     online and then returned. To confirm your submission and 
   country of formation, which must be attached to this                                                                                                                                                    obtain evidence of your filing:
   form. The Certificate of Good Standing/Letter of Status                                                                                                                                                 •   Go to our Corporate Database.
   must be issued by the state or country of formation and                                                                                                                                                 •   Enter the name or ID number of your entity and click 
   dated within sixty days of when you file this form. You                                                                                                                                                     “Search.”
   may check name availability on our website. If there is 
                                                                                                                                                                                                           •   Click on the link to your entity record, scroll down, 
   no change to the name, check the box to indicate no 
                                                                                                                                                                                                               select “All Filings” and then “View Filing.”
   change.
                                                                                                                                                                                                           •   Identify the desired type of filing and click on “PDF” 
4a. If the name is unavailable for use in Rhode Island, list                                                                                                                                                   under “View PDF” to view and print the record.
      an elected name and complete a Fictitious Business                                                                                                                                         
      Name Statement, Form 626, to be submitted with this                                                                                                                                             
      application. The Fictitious Business Name Statement has                                                                                                                                              How to maintain your status:
      a $20 filing fee.                                                                                                                                                                                    The entity is responsible for filing an annual report each 
5.  If the entity’s purpose is changing, so state. If there is                                                                                                                                             calendar year, excluding the year of incorporation, between 
   no change to the purpose, check the box to indicate no                                                                                                                                                  February 1 and May 1. A courtesy reminder will be mailed 
   change.                                                                                                                                                                                                 to the registered agent prior to February 1 of each year. Be 
6.  If the entity is changing its principal place of business,                                                                                                                                             sure to follow up with your registered agent concerning the 
   indicate the new address. If there is no change to the                                                                                                                                                  filing of this report. Failure to file an annual report or maintain 
   entity’s principal address, check the box to indicate no                                                                                                                                                a registered agent/office will result in revocation proceedings. 
   change.
7. Except as herein modified, the original Application for                                                                                                                                                 Every entity registered with the RI Department of State - 
   Certificate of Authority continues in full force and effect                                                                                                                                             Business Services Division will have filing requirements with 
   and is hereby confirmed, ratified and incorporated by                                                                                                                                                   the Rhode Island Division of Taxation, even if no business 
   reference into this Application for Amended Certificate of                                                                                                                                              is conducted within Rhode Island for a particular year. Your 
   Authority.                                                                                                                                                                                              business may require additional licensing. Please visit our 
                                                                                                                                                                                                           website for further information.
8.  The President OR Vice President AND the Secretary OR 
   Assistant Secretary MUST sign and date the form. Two 
   signatures are required.

                                                                                                                                                                                                                                                FORM 251 - Revised:  8/2023

        State of Rhode Island
        Department of State - Business Services Division

Application for an Amended Certificate of Authority                                                                               STAMP
FOREIGN Non-Profit Corporation                                                                                                    FOR
                                                                                                                                  SECRETARY OF STATE 
       Filing Fee: $25.00                                                                                                         USE ONLY

Pursuant to the provisions of RIGL 7-6-82, the undersigned foreign non-profit corporation hereby 
applies for an Amended Certificate of Authority to conduct affairs 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. List the date the Certificate of Authority was issued by 
the RI Department of State:

4. If the entity’s name has changed,
state the new name:

                                                                                                                                   Check the box to indicate no change
4a. The name, if different, which it elects to use in Rhode Island is:
* 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:

5. 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 the box to indicate no change

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

                                                                                                                                  FORM 251 - Revised:  8/2023

6. If the entity’s principal place of business is changing indicate the new principal address:

                                                                                                                                  Check the box to indicate no change
7. 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.
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.          
Type or Print Corporate Name of the Non-Profit Corporation

Type or Print Name of the   President OR   Vice President                                     Date

Signature of President OR Vice President

Type or Print Name of the   Secretary OR   Assistant Secretary                                Date

Signature of the Secretary OR Assistant Secretary

TWO SIGNATURES ARE REQURIED

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 251 - Revised:  8/2023

        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 251 - Revised:  8/2023