New York State 
                                                                                                                  Department of State 
                                                                                                                  DIVISION OF CORPORATIONS, 
                                                                                                                  STATE RECORDS AND  
                                                                                                                  UNIFORM COMMERCIAL CODE 
                                                                                                                  One Commerce Plaza 
                                                                                                                  99 Washington Ave. 
                                                                                                                  Albany, NY 12231-0001 
                                                                                                                  www.dos.ny.gov 
 
                            CERTIFICATE OF AMENDMENT  

                                                   OF 
 
                                       (Insert Name of Foreign Limited Liability Company) 

                           Under Section 804 of the Limited Liability Company Law 
 
 FIRST: The name of the foreign limited liability company as it appears on the index of names in the 
 Department of State is: 
                                                                                                                                                                          . 
  
 If applicable, the fictitious name the foreign limited liability company has agreed to use in this state is: 
                                                                                                                                                                          . 
 SECOND:  The jurisdiction of organization of the foreign limited liability company is: 

                                                                                                                                                                          . 
 THIRD: The date on which its application for authority filed with the Department of State is:  
                                                                                   . 

 FOURTH: The application for authority is amended as follows: 
 (If the true name of the foreign limited liability company is to be changed, set forth a statement that the change of name has 
 been effected under the laws of the jurisdiction of its formation and the date the change was so effected.) 

 (A) Paragraph                            of the application for authority is amended to read as follows: 
 
 (B)  Paragraph                         of the application for authority is amended to read as follows: 
 
                                                                                                                                                                         . 
 
                                                                                               Capacity of signer (Check appropriate box):  
 X 
                           (Signature) 
                                                                                              Member 
 
                                                                                             Manager  
                          (Type or print name) 
                                                                                             Authorized Person 

 DOS-1360-f (Rev. 03/17)                                                                                           Page 1 of 2

                                 CERTIFICATE OF AMENDMENT 
                                                OF 
 
                                 (Insert Name of Foreign Limited Liability Company) 

                                 Under Section 804 of the Limited Liability Company Law 
 
     Filer’s Name and Mailing Address: 

       Name: 

       Company, if Applicable: 

       Mailing Address:

       City, State and Zip Code: 
 
 NOTES:  
 1. The name of the foreign limited liability company and the date of filing of the application for authority must exactly match 
     the records of the Department of State.  This information should be verified on the Department of State’s website at     
     www.dos.ny.gov. 
 2. This form was prepared by the New York State Department of State for filing a certificate of amendment for a foreign  
     limited liability company. It does not contain all optional provisions under the law. You are not required to use this form.   
     You may draft your own form or use forms available at legal supply stores.   
 3. The Department of State recommends that legal documents be prepared under the guidance of an attorney.   
 4. The certificate must be submitted with a $60 filing fee made payable to the Department of State. 
                                                                                                              
 (For office use only) 

 DOS-1360-f (Rev. 03/17)                                                                                                       Page 2 of 2