Form CA 52A Application for a Corrected/Amended Certificate of Authority for a Foreign Cooperative Association - Missouri

Form CA52A or the "Application For A Corrected/amended Certificate Of Authority For A Foreign Cooperative Association" is a form issued by the Missouri Secretary of State.

Download a PDF version of the Form CA52A down below or find it on the Missouri Secretary of State Forms website.

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State of Missouri
This form is designed to be filled out online for your convenience.
Complete the necessary information, print, sign and mail.
John R. Ashcroft, Secretary of State
Print
Reset
Corporations Division
PO Box 778 / 600 W. Main St., Rm. 322
Jefferson City, MO 65102
Application for a Corrected/Amended Certificate of
Authority for a Foreign Cooperative Association
(Submit with filing fee of $25.00)
The below cooperative association, relating to correcting/amending its Certificate of Authority of Foreign Cooperative Association, does hereby
state:
1. Its name is:
;
it is registered in the State of:
; and it was qualified
in the State of Missouri on
.
month/day/year
2. By appropriate association action on:
the association:
month/day/year
a. Changed its cooperative association name to:
Name it will use in Missouri if new name not available:
b. Changed its period of duration to:
c. Changed the state or country of its association to:
d. Changed the principal place of business to:
3. Any other amendments to the certificate:
4. If filing a correction, state the incorrect statement and the reason for the correction, and inlcude the correct statement:
5. There is attached hereto a Certificate of the Secretary of State or other state authority of the state of
relating to the correction/amendment(s), set forth above and showing that the Association is in existence and in good standing in said State.
(Certificate must be less than 60 days old.)
In Affirmation thereof, the facts stated above are true and correct:
(The undersigned understands that false statements made in this filing are subject to the penalites provided under Section 575.040, RSMo)
Authorized signature
Printed Name
Title
Date
Attached is a current certificate attesting to the change, duly authenticated and certified by the secretary of state or other official having custody of
association records in the state or country of association.
Name and address to return filed document:
Name:
Address:
City, State, and Zip Code:
CA 52A (08/2011)
State of Missouri
This form is designed to be filled out online for your convenience.
Complete the necessary information, print, sign and mail.
John R. Ashcroft, Secretary of State
Print
Reset
Corporations Division
PO Box 778 / 600 W. Main St., Rm. 322
Jefferson City, MO 65102
Application for a Corrected/Amended Certificate of
Authority for a Foreign Cooperative Association
(Submit with filing fee of $25.00)
The below cooperative association, relating to correcting/amending its Certificate of Authority of Foreign Cooperative Association, does hereby
state:
1. Its name is:
;
it is registered in the State of:
; and it was qualified
in the State of Missouri on
.
month/day/year
2. By appropriate association action on:
the association:
month/day/year
a. Changed its cooperative association name to:
Name it will use in Missouri if new name not available:
b. Changed its period of duration to:
c. Changed the state or country of its association to:
d. Changed the principal place of business to:
3. Any other amendments to the certificate:
4. If filing a correction, state the incorrect statement and the reason for the correction, and inlcude the correct statement:
5. There is attached hereto a Certificate of the Secretary of State or other state authority of the state of
relating to the correction/amendment(s), set forth above and showing that the Association is in existence and in good standing in said State.
(Certificate must be less than 60 days old.)
In Affirmation thereof, the facts stated above are true and correct:
(The undersigned understands that false statements made in this filing are subject to the penalites provided under Section 575.040, RSMo)
Authorized signature
Printed Name
Title
Date
Attached is a current certificate attesting to the change, duly authenticated and certified by the secretary of state or other official having custody of
association records in the state or country of association.
Name and address to return filed document:
Name:
Address:
City, State, and Zip Code:
CA 52A (08/2011)

Download Form CA 52A Application for a Corrected/Amended Certificate of Authority for a Foreign Cooperative Association - Missouri

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