"CERTIFICATE OF ABANDONMENT OF AMENDMENT For use by Domestic "
BCS/CD-517 (Rev. 04/01) MICHIGAN DEPARTMENT OF CONSUMER & INDUSTRY SERVICES BUREAU OF COMMERCIAL SERVICES Date Received (FOR BUREAU USE ONLY) This document is effective on the date filed, unless a subsequent effective date within 90 days after received date is stated in the document. Name Address City State Zip Code EFFECTIVE DATE: Ç Document will be returned to the name and address you enter above. È If left blank document will be returned to the registered office. CERTIFICATE OF ABANDONMENT OF AMENDMENT For use by Domestic Corporations (Please read information and instructions on reverse side) Pursuant to the provisions of Act 284, Public Acts of 1972 (profit corporations), or Act 162, Public Acts of 1982 (nonprofit corporations), the undersigned corporation executes the following Certificate: 1. The name of the corporation is: 2. The identification number assigned by the Bureau is: 3. The Certificate of Amendment to the Articles of Incorporation, which is to be abandoned, was filed on the ___________ day of __________________________________, __________. 4. The effective date specified in the Certificate of Amendment was the __________ day of ________________________, _________. 5. The foregoing Amendment to the Articles of Incorporation is hereby abandoned pursuant to the provisions for abandonment set forth in the resolution of the shareholders (or shareholders, members, or directors if a nonprofit corporation) approving the amendment. Profit Corporations Nonprofit Corporations Signed this day of , Signed this day of , By By (Signature of an authorized officer or agent) (Signature of President, Vice-President, Chairperson or Vice-Chairperson) (Type or Print Name) (Type or Print Name) (Type or Print Title) BCSCD= 517 Preparer's Name Business telephone number ( ) INFORMATION AND INSTRUCTIONS 1. The Certificate of Abandonment of amendment cannot be filed until this form, or a comparable document, is submitted. 2. Submit one original of this document. Upon filing, the document will be added to the records of the Bureau of Commercial Services. The original will be returned to your registered office address, unless you enter a different address in the box on the front of this document. Since this document will be maintained on optical disk media, it is important that the filing be legible. Documents with poor black and white contrast, or otherwise illegible, will be rejected. 3. This Certificate is to be used pursuant to section 651 of Act 284, P.A. 1972 or Act 162, P.A. 1982, to abandon an amendment to the Articles of Incorporation before the effective date of the amendment in accordance with provisions for abandonment stated in the resolution approving the amendment. The amendment must have been approved by its shareholders, if it is a profit corporation, or by its shareholders, by its members, or by its directors if it is a nonprofit corporation. 4. Item 2 - Enter the identification number assigned by the Bureau. If this number is unknown, leave it blank. 5. If a Certificate of Amendment has been filed by the corporation which specifies a later effective date, this Certificate of Abandonment can be filed within 10 days after the abandonment but not later than the specified effective date. 6. This Certificate must be signed by: Profit Corporations - Signature by an authorized officer or agent. Nonprofit Corporations - Signature of the president, vice-president, chairperson, or vice-chairperson of the corporation. 7. NONREFUNDABLE FEE. Make remittance payable to the State of Michigan. Include corporation name and identification number on check or money order. ...................................................................................................................... $10.00 To submit by mail: To submit in person: Michigan Department of Consumer & Industry Services 6546 Mercantile Way Bureau of Commercial Service Lansing, MI Corporation Division Telephone: (517) 241-6400 7150 Harris Drive P.O. Box 30054 Fees may be paid by VISA or Mastercard when Lansing, MI 48909 delivered in person to our office. MICH-ELF (Michigan Electronic Filing System): First TIme Users: Call (517) 241-6420, or visit our website at http://www.cis.state.mi.us/bcs/corp/ Customer with MICH-ELF Filer Account: Send document to (517) 241-9845