INSTRUCTIONS: ARTICLES OF AMENDMENT NONPROFIT

Articles of Amendment – Nonprofit 24.03A Washington Secretary of State Revised 10.2023

INSTRUCTIONS: ARTICLES OF AMENDMENT NONPROFIT CORPORATION RCW 24.03A

Purpose: Articles of Amendment is used to record changes to the business entity’s previously recorded articles of incorporation or

its most recently recorded amendment. Amendment filings are most commonly used to change to the business entity’s name.

General Instructions: Use dark ink only. Complete the entire form and enter all requested information in the fields provided. A

fillable .pdf version of this form is available for download at www.sos.wa.gov/corporations

Mail: Send the completed form and payment to the address listed above.

Payment: Make checks or money orders payable to “Secretary of State.” Checks cannot be backdated more than 60 days from the

date the check is received.

Fees: The filing fee for the Articles of Amendment is $20.00

Expedited Service: If expedited service is requested, an a dditional $100 must be added to the filing fee. Check the box indicating

expedited service on page one.

ALL FILING FEES ARE NON-REFUNDABLE. ALL DOCUMENTS ARE PUBLIC RECORD.

(1) Unified Business Identifier (UBI): Provide the UBI Number assigned to the business registration as on file with the Office of the

Secretary of State of Washington. The UBI Number and name of the business must match our records in order to be accepted.

(2) Name of Nonprofit Corporation: Provide the name as recorded with the Office of the Secretary of State of Washington. The

Name and UBI Number of the business must match our records to be accepted.

(3) Business Type: Indicate by checking “Yes” or “No” if changing your business type to a Washington Nonprofit Professional Service

Corporation. If “Yes”, additional information will be required outlined below.

• Attestation of Stated Profession: A statement that each Incorporator and/or Initial Director listed is licensed or legally

authorized to provide the professional services listed as the purpose of the business.

• RCW Election: A statement that the Nonprofit Professional Service Corporation elects to have RCW 18.100 applied.

(4) Business Name Change: Provide the new name for review. If a name has been reserved and a Name Reservation Number has

been provided, enter the Number in the appropriate section. If a Name Reservation has not been provided select “No”.

In accordance with RCW 23.95.305, a Nonprofit Corporation must not include or end with any of the following designations or

abbreviations of: incorporated, company, cooperative, partnership, limited, limited partnership, or limited liability partnership, but

may use club, league, association, services, committee, fund, society, foundation, guild, a nonprofit corporation, a nonprofit mutual

corporation, or any name of like import . A Nonprofit Corporation name must be distinguishable upon the records of the Secretary

of State from any other business already registered with the Secretary of State’s office.

Corporations & Charities Division

Physical/Overnight address:

801 Capitol Way S

Olympia, WA 98501-1226

Mailing address:

PO Box 40234

Olympia, WA 98504-0234

Tel: 360.725.0377

www.sos.wa.gov/corporations

Articles of Amendment – Nonprofit 24.03A Washington Secretary of State Revised 10.2023

(5) Charitable Nonprofit Corporation: Review RCW 24.03A.010(5) to determine if the business is a Charitable Nonprofit Corporation.

Select “Yes” or “No” upon determination.

If within section 7 or in the most recent recorded Nonprofit’s Purpose language indicating a “charitable purpose”; the Nonprofit is

a Religious Corporation; or that the Nonprofit is eligible for tax-exempt status under section 501(C)(3) of the Internal Revenue

Code, then Yes is required in this section.

(6) Members: Indicate by checking “Yes” or “No” if the Nonprofit Corporation has members. Member is defined as a person who has

a right set forth in the articles of bylaws to select or vote for the election of directors or delegates, or to vote on at least one type of

fundamental transaction. If “Yes” is selected member names may be provided.

(7) Purpose of Corporation: If changed, indicate by providing the new purpose. Any other provisions may be attached if needed. Do

not attach or refer to the bylaws.

(8) Registered Agent: If the Registered Agent has changed, indicate by selecting “Yes” and provide new Registered Agent

information.

Registered Agent: All businesses must have a Registered Agent in Washington State per RCW 23.95.415. The Consent of the

Registered Agent must be signed, regardless of the type of Registered Agent. Print the name and title of the person signing and

provide the date of signature.

• Commercial Registered Agent is a business or individual registered with the Office of the Secretary of State, whose nature

of business it is to receive legal documents, notices, or demands required or permitted by law to be served on behalf of the

business. The Commercial Registered Agent has a verified address on record with the Office of the Secretary of State.

o Select “Yes” or “No.”

▪ If “Yes,” provide the name of the Commercial Registered Agent. An address is not required.

▪ If “No,” continue to Noncommercial Registered Agent.

• Noncommercial Registered Agent is a business or individual who agrees to receive legal documents, notice, or demand

required or permitted by law to be served on behalf of the business.

o Identify the Registered Agent.

▪ Individual: Write the individual’s first and last name.

▪ Business: Write the business’ full name.

▪ Office/Position: Write the office or position title held within the business such as President, Secretary,

Treasurer, or Member.

o Provide the required physical street address of the Noncommercial Registered Agent. You may also provide the

mailing address if needed. Addresses must be in Washington State.

o Provide a contact phone number and email address. This information will be used if there are any questions

regarding the submission.

(9) Public Benefit Designation: Indicate by checking “Yes” or “No” if the Nonprofit Corporation is currently designated as a Public

Benefit Corporation.

• If “Yes”, indicate if the Nonprofit Corporation still meets the requirements to maintain its Public Benefit designation.

o If “Yes”, indicate if the Nonprofit Corporation still elects to have the Public Benefit Designation apply.

• If “No” to either question the designation of Public Benefit will be removed from the Nonprofit Corporation. If the term

Public Benefit is part of the business’ name the Nonprofit Corporation will need to remove this as part of the amendment

submission.

(10) Host Home Registration: Indicate by checking “Yes” or “No” if the Nonprofit Corporation is currently designated as a Host

Home.

• If “Yes”, indicate if the Nonprofit Corporation elects to maintain its Host Home registration.

o If “No”, the designation of Host Home will be removed from the Nonprofit Corporation.

Articles of Amendment – Nonprofit 24.03A Washington Secretary of State Revised 10.2023

(11) Period of Duration: If changed, select a period of duration. Only one selection will be accepted. Perpetual duration means “on-

going” until the business is either administratively or voluntarily dissolved. A specified date or specified number of years, may be

selected. If a specified date or years is selected the business will be administratively dissolved as recorded in this section. If no

selection is provided, it will default to perpetual.

(12) Adoption of Articles of Amendment: Select how the Amendment was adopted by checking the appropriate box.

(13) Adoption Date: Provide the date that the Amendment was adopted.

(14) Distribution of Assets: If changed, indicate by providing the new plan for distribution of assets. Do not attach or refer to the

bylaws.

(15) Governors: If changed, list the individuals/businesses responsible for governing the business. Attach additional pages if

necessary. A business cannot serve as its own governor. A governor is commonly a business/individual who has the authority to

make decisions on behalf of the business.

(16) Effective Date: Select the date this filing is to be effective. If “Date of Filing” is selected, the effective date will be the date the

submission is completed by our office. A future effective date may be specified which may not be more than 90 days after the date

of filing.

(17) Return Address for this Filing: If provided, the confirmation regarding this specific filing will be sent to this address, in addition

to the Registered Agent’s address.

(18) Authorized Person: Sign, print, provide the signer’s title, and date the document.

For a rapid response to questions, requests for assistance, or to provide feedback, please visit the Corporations and Charities

website at www.sos.wa.gov/corporations to chat with a representative.

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Are you changing your business type? (Check one) □ Yes □ No If Yes, select the change being made:

□ WA NONPROFIT PROFESSIONAL SERVICE CORPORATION

Additional requirements must be submitted if changing the business type, including a change to the name, see instructions for details.

□ Filing Fee $20

□ To Expedite Filing, Add $100

(7) PURPOSE OF NONPROFIT CORPORATION: Required only if changed attach additional pages if necessary

_________________________________________________________________________________________________

(1) UBI No.:

(2) NAME OF NONPROFIT CORPORATION: (as currently recorded with the Office of the Secretary of State)

_____________________________________________________________________________________________________________________

(8) Has your registered agent or their contact details changed? (Check one) □ Yes □ No If Yes, complete page 2

All fields REQUIRED unless otherwise specified

(4) BUSINESS NAME CHANGE: Are you changing your business name? (Check one) □ Yes □ No

New Name: ______________________________________________________________________________________

May include "club", "league", "association", "services", "committee", "fund", "society", "foundation", "guild", ". . . . . ., a nonprofit corporation", ". .

. . . ., a nonprofit mutual corporation" or any name of like import. Must not include or end with "Corporation", "Incorporated", "Company",

"Limited", "Limited Partnership" or the abbreviation "Corp.", "Inc.", "Co." or "Ltd." or any abbreviation thereof. May only include the term "public

benefit" or names of like import if the nonprofit corporation has been designated as a public benefit nonprofit corporation by the secretary of state in

accordance with chapter 24.03A RCW. For name requirements review the following RCW(s): RCW 23.95.305

Does the business have a name reserved? (Check one) □ Yes □ No If Yes, provide the Name Reservation Number

Reservation Number: _________________

(3) BUSINESS TYPE:

ARTICLES OF AMENDMENT

Nonprofit Corporation

RCW 24.03A

(5) CHARITABLE NONPROFIT CORPORATION: If within section 7 or in the most recent recorded Nonprofit’s Purpose,

language indicating a “charitable purpose”; the Nonprofit is a Religious Corporation; or that the Nonprofit is eligible for tax-exempt status under

section 501(C)(3) of the Internal Revenue Code, then Yes is required below,

Is the Nonprofit Corporation a Charitable Nonprofit as defined by RCW 24.03A.010(5)? (Check one) □ Yes □ No

THIS BOX FOR OFFICE USE ONLY

Overnight address by commercial carrier: 801 Capitol Way S Olympia, WA 98501-1226

Mailing Address (ALL USPS): PO Box 40234 Olympia, WA 98504-0234

Tel: 360.725.0377 | Website: www.sos.wa.gov/corporations-charities

(6) MEMBERS: RCW 24.03A.010(45)

Does the Nonprofit Corporation have members? (Check one) □ Yes □ No providing names are optional

Name: _________________________________________ Name: __________________________________________

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NEW REGISTERED AGENT: Required ONLY if question 8 was marked Yes

A Registered Agent is an agent of a business which is authorized to receive service of any process, notices, or demands

required or permitted by law to be served on the business including hand delivered service of process.

All businesses must have a Registered Agent in Washington State per RCW 23.95.415

Provide the name of the Commercial Registered Agent OR Non-Commercial Registered Agent. The appointed agent

must sign the Consent to Serve statement below.

COMMERCIAL REGISTERED AGENT

A Commercial Registered Agent is a business or individual that is registered specifically as a Commercial Agent with the

Office of the Secretary of State to receive legal documents on behalf of a corporation. A Commercial Registered Agent

address has been registered with this office in advance and does not need to provide it with this submission.

If applicable, provide the name of the Commercial Registered Agent: ________________________________________

NON-COMMERCIAL REGISTERED AGENT

A Non-Commercial Registered Agent is a person, business, or office or position title appointed to serve as the registered

agent for a business. A street address located in Washington State and an email address are required; a phone number

and separate Washington State mailing address are optional.

If multiple types are listed the first type will be entered by this office

Phone: (optional) __________________________________ Email: __________________________________________

CONSENT TO SERVE AS REGISTERED AGENT - REQUIRED FOR ALL TYPES

I hereby consent to serve as Registered Agent in the State of Washington for the named business. I understand it will be

my responsibility to accept service of process, notices, and demands on behalf of the business; to forward mail to the

business; and to immediately notify the Office of the Secretary of State if I resign or change the Registered Office

Address.

___________________________________ ___________________________________ _____________________

Signature of Registered Agent Printed Name/Title Date

Country: United States State: Washington

Address : _______________________________________

_______________________________________________

Zip: __________ City: ___________________________

Country: United States State: Washington

Address : _______________________________________

_______________________________________________

Zip: __________ City: ____________________________

Mailing Address (optional)

□ Check if mailing address is the same as street address

Street Address: (required)

Must be a physical address; No PO Box or PMB

Registered Agent: ________________________________________________________________________________

• Type 1: If an individual is serving as the Registered Agent, only provide the individual’s first and last name below.

• Type 2: If a business is serving as the Registered Agent, only provide the name of the business below.

• Type 3: If an office or position within the business is serving as the Registered Agent, only provide the position

title such as President, Secretary, Treasurer, or Member below.

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(9) PUBLIC BENEFIT DESIGNATION: RCW 24.03A.245/250 Required only if changed

Is the Nonprofit Corporation currently registered as a Host Home with the Office of the Secretary of State?

(Check one) □ Yes □ No

If “yes”, does the Nonprofit Corporation elect to maintain its Host Home registration per RCW 74.15.020(2)(o)?

(Check one) □ Yes □ No If “no” is selected the Nonprofit will not maintain the designation of a Host Home

(10) HOST HOME REGISTRATION: RCW 74.15.315 Required only if changed

□ This Company shall have a perpetual duration (default) □ This Company shall have a duration of _________ years.

□ This Company shall expire on ______________________

(11) PERIOD OF DURATION: Required only if changed Check ONE of the following

(12) ADOPTION OF ARTICLES OF AMENDMENT:

This Amendment was duly adopted by the following method (Check one)

□ The Articles of Amendment were duly adopted by the board of directors; member approval was not required.

□ The Articles of Amendment were duly adopted and approved by the members in the manner required by the

Nonprofit Corporation’s articles and bylaws, and by RCW 24.03A.665.

(13) DATE OF ADOPTION:

The date that the Articles of Amendment were adopted was: ____________________

1. Is the Nonprofit Corporation currently designated as a Public Benefit Corporation with the Office of the Secretary of

State? (Check one) □ Yes □ No

2. If “yes”, does the Nonprofit Corporation still meet the requirements to maintain its Public Benefit designation?

(Check one) □ Yes □ No If “no” is selected the Nonprofit will not maintain the designation of a Public Benefit Corporation

2a. If “yes”, does the Nonprofit Corporation still elect to have the Public Benefit Designation?

(Check one) □ Yes □ No

List at least one. Attach additional pages if necessary. A business cannot serve as its own Governor.

Name: _________________________________________ Name: _________________________________________

(15) GOVERNOR(S): Required only if changed

(14) DISTRIBUTION OF ASSETS: Required only if changed

_________________________________________________________________________________________________

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If provided, the confirmation regarding this specific filing will be sent to the address below, in addition to the Registered

Agent’s address.

Attention to: ____________________________________ Email: ________________________________________

Address: _______________________________________________________________________________________

City: _______________________________________ State: ___________________________ Zip: ______________

□ Date of filing (default) this is the date that the submission is completed by our office

□ Specify a Date __________________ (cannot be more than 90 days following received date)

(16) EFFECTIVE DATE OF THIS FILING: Check ONE of the following

(17) RETURN ADDRESS FOR THIS FILING: (optional)

(18) AUTHORIZED PERSON:

I hereby certify, under penalty of law, that the above information is accurate and complies with the filing

requirements of state law.

_______________________________________ ________________________________ ____________________

Signature of Authorized Person Printed Name/Title Date