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Amended Founding Staement - CIPC

CK2. CLOSE CORPORATIONS ACT, 1984. Sections 13, 15, 24, 29, 47 and 60 / Regulations 2 and 16. Amended Founding STATEMENT. To be lodged in triplicate Before completing the form, first take note of the notes on the reverse side of page 2. Complete page 1 in one language only. REGISTRATION NUMBER Client Ref: OF CORPORATION. / /. payable in respect Date of of changes in particulars commencement of PART A in Part A only. change Full name of corporation Previous name of corporation (if applicable). Literal translation of name (if applicable). Shortened form of name (if applicable). Description of principal business Date of end of financial year Date of original incorporation Number of members Aggregate members' contribution R. NOTE: For changes in particulars of accounting officer, postal address and registered office see Note 9 on reverse side of Page 2. PART B MEMBERS. I/We* the member(s)* whose name(s)* is/are* recorded on this Founding statement, confirm by my/our* signature(s)*/ the signature(s)* of my/our* proxy(ies)* hereto that the particulars stated herein are correct and request the registration of the Amended Founding statement (power of attorney attached if applicable).

LW: Indien daar 4 of minder lede is moet bladsye 1 en 2 voltooi word. Bladsy 3 moet slegs voltooi word indien daar meer as 4 lede is. NB: If there are 4 or less members, pages 1 and 2 only need be completed . Page 3 need only be completed if there are more than 4 members.

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