Get CA SEC/STATE NPSF 404B 2010

The agreement has been amended to Change the parties to the agreement as follows Change the name of the administering agency or entity as follows Change the purpose of the agreement or the powers to be exercised as follows Change the short title of the agreement as follows Make other changes to the agreement as follows Date RETURN ACKNOWLEDGMENT TO Type or Print NAME Signature ADDRESS CITY/STATE/ZIP Typed Name and Title SEC/STATE NP/SF 404B REV. FILE NO. State of California Secretary of State AMENDMENT OF A JOINT POWERS AGREEMENT Government Code section 6503. 5 Instructions Complete and mail to Secretary of State P. O. Box 942877 Sacramento CA 94277-0001. Include filing fee of 1. 00. Do not include attachments. A copy of the full text of the joint powers agreement and amendments if any must be submitted to the State Controller s office. For address information contact the State Controller s office at www. sco. ca*gov* Office Use Only Date of filing initial notice with the Secretary of State File number of initial notice Name of the agency or entity created under the agreement and responsible for the administration of the agreement Agency s or Entity s Mailing Address Title of the agreement Complete one or more boxes below. FILE NO. State of California Secretary of State AMENDMENT OF A JOINT POWERS AGREEMENT Government Code section 6503. 5 Instructions Complete and mail to Secretary of State P. O. Box 942877 Sacramento CA 94277-0001. Include filing fee of 1. 5 Instructions Complete and mail to Secretary of State P. O. Box 942877 Sacramento CA 94277-0001. Include filing fee of 1. 00. Do not include attachments. A copy of the full text of the joint powers agreement and amendments if any must be submitted to the State Controller s office. 00. Do not include attachments. A copy of the full text of the joint powers agreement and amendments if any must be submitted to the State Controller s office. For address information contact the State Controller s office at www. sco. ca*gov* Office Use Only Date of filing initial notice with the Secretary of State File number of initial notice Name of the agency or entity created under the agreement and responsible for the administration of the agreement Agency s or Entity s Mailing Address Title of the agreement Complete one or more boxes below. FILE NO. State of California Secretary of State AMENDMENT OF A JOINT POWERS AGREEMENT Government Code section 6503. 5 Instructions Complete and mail to Secretary of State P. O. Box 942877 Sacramento CA 94277-0001. Include filing fee of 1. 00. Do not include attachments. A copy of the full text of the joint powers agreement and amendments if any must be submitted to the State Controller s office. 5 Instructions Complete and mail to Secretary of State P. O. Box 942877 Sacramento CA 94277-0001. Include filing fee of 1. 00. Do not include attachments. A copy of the full text of the joint powers agreement and amendments if any must be submitted to the State Controller s office. For address information contact the State Controller s office at www. sco. ca*gov* Office Use Only Date of filing initial notice with the Secretary of State File number of initial notice Name of the agency or entity created under the agreement and responsible for the administration of the agreement Agency s or Entity s Mailing Address Title of the agreement Complete one or more boxes below. .