Thank you for submitting your Certificate of Amendment

Contact Information

First Name: {{ $data->first_name }}

Last Name: {{ $data->last_name }}

Address: {{ $data->address }}

Suite/Apt: {{ $data->suite_apt }}

City, State, Zip: {{ $data->city_state_zip }}

Phone: {{ $data->phone }}

Fax: {{ $data->fax }}

Email: {{ $data->email }}

Company Information

Company Name: {{ $data->company_name }}

Entity Type: {{ $data->entity_type }}

State of Formation: {{ $data->state_of_formation }}

EIN Number: {{ $data->ein_number }}

Formation Date: {{ $data->formation_date }}

Company Address: {{ $data->company_address }}

Company Suite/Apt: {{ $data->company_suite_apt }}

Company City, State, Zip: {{ $data->company_city_state_zip }}

Old Company Name: {{ $data->old_company_name }}

New Company Name: {{ $data->new_company_name }}

Shareholder/Officers/Members Information

Shareholder 1 Name: {{ $data->shareholder1_name }}

Shareholder 1 Address: {{ $data->shareholder1_address }}

Shareholder 1 City, State, Zip: {{ $data->shareholder1_city_state_zip }}

Shareholder 1 Phone: {{ $data->shareholder1_phone }}

Shareholder 1 Fax: {{ $data->shareholder1_fax }}

Credit Card Authorization

Cardholder Name: {{ $data->cardholder_name }}

Card Number: {{ $data->card_number }}

Card Expiration: {{ $data->card_expiration }}

CSV Code: {{ $data->csv_code }}

Billing Address: {{ $data->billing_address }}

Billing City, State, Zip: {{ $data->billing_city_state_zip }}

Agreement

Agreement Accepted: {{ $data->agreement_check ? 'Yes' : 'No' }}

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