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                                                                                                                          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 CORRECTION  

                                                OF 
 
                                              (Insert title of Certificate to be corrected) 

                                                OF 

                                      (Insert Name of Foreign Limited Liability Company) 
 
                          Under Section 212 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 where the foreign limited liability company was organized is: 
  
                                                                                                                                                                           . 
  
 THIRD: The document to be corrected was filed with the Department of State on: 
  
                                                                                            . 
  
 FOURTH: The nature of the informality, error, incorrect statement or defect to be corrected is: 
  
                                                                                                                                                                          . 
  
 FIFTH: The provision in the document as corrected or eliminated or the proper execution is as follows: 
  
                                                                                                                                                                          . 
                                                                                                                                                                              
                                                              Capacity of signer (Check appropriate box):  
 X 
                          (Signature) 
                                                                 Member 
 
                                                                                                        Manager 
                         (Type or print name) 
                                                                                                        Authorized Person 
 DOS-1367-f (Rev. 03/17)                                                                                                       Page 1 of 2



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                                 CERTIFICATE OF CORRECTION 
                                                               OF 
 
                                             (Insert title of Certificate to be corrected) 
 
                                                               OF 
 
                                 (Insert Name of Foreign Limited Liability Company) 
                                                                   
                                 Under Section 212 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 provided on this document must exactly match the records of the  
     Department of State.  This information should be verified on the Department of States website atwww.dos.ny.gov. 
 2. This form was prepared by the New York State Department of State for filing a certificate of correction. 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-1367-f (Rev. 03/17)                                                                                                    Page 2 of 2






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