19-0606_NCR CORPORATION, INC._Notice of Name ChangeDelaware page 1
The First State
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT
COPY OF THE CERTIFICATE OF AMENDMENT OF "JETPAY PAYMENT
SERVICES, FL, LLC", CHANGING ITS NAME FROM "JETPAY PAYMENT
SERVICES, FL, LLC" TO "NCR PAYMENT SOLUTIONS, FL, LLC", FILED
IN THIS OFFICE ON THE FOURTH DAY OF JUNE, A.D. 2019, AT 3:17
O'CLOCK P.M.
5952322 8100
SR# 20195233428
You may verify this certificate online at corp.delaware.gov/authveashlml
JMnY W. 9WIpC4 betMary Of 8Yb
Authentication: 202975823
Date: 06-06-19
1.
State of Delaware
Secretam of State
Division of Corporations
Delivered 03:17 PNI 06/04/2019
FILED 03:17 PU 06104/2019
SR 20195233428 - ReNumber 5952322
STATE OF DELAWARE
CE]R.TIFICATE OF AMENDMENT
Name of Limited Liability Company: Jetpay Payment Services,
FL, LLC
2. The Certificate of Formation of the limited liability company is hereby amended
as follows:
Item FIRST of the Certificate of Formation shall be
deleted in its entirety and the following shall be
inserted in lieu thereof:
FIRST: The name of the limited liability company
i(hereinafter called the "limited liability company")
is NCR Payment Solutions, FL, LLC
IN WITrjFjSS WHEREOF, the undersigned have executed this Certificate on
the _ _ day of ._�-1�0 A.D. 2019
By:
Authorized Person(s)
Name:Vladimir Samoylenko
Print or Type
A _2
,
1p
CORPORATION SERVICE COMPANY
1201 Hays Street
Tallhassee, FL 32301
Phone: 850-558-1500
ACCOUNT NO. I20000000195
REFERENCE 810984 7732133
AUTHORIZATION
COST LIMIT *$2 0
---------------------------------------------------------------
ORDER DATE : June 17, 2019
ORDER TIME : 1:23 PM
ORDER NO. 810984-015
CUSTOMER NO: 7732133
FOREIGN FILINGS
NAME: JETPAY PAYMENT SERVICES, FL,
LLC
CORPORATE
LIMITED PARTNERSHIP
XX LIMITED LIABILITY COMPANY
XXXX AMENDMENT
PLEASE RETURN THE FOLLOWING AS PROOF OF FILING:
CERTIFIED COPY
XX PLAIN STAMPED COPY
CERTIFICATE OF GOOD STANDING
CONTACT PERSON: Roxanne Turner -- EXT# 62969
EXAMINER:
APPLICATION BY FOREIGN LIMITED LIABILITY COMPANY TO FILE
AMENDMENT TO CERTIFICATE OF AUTHORITY TO TRANSACT
BUSINESS IN FLORIDA
SECTION 1 (1-4 must be completed)
1. Name of limited liability Company as it appearson the records of the Florida Department of
SW,: Jetpay Payment Services, FL, LLC
Enter new principal office address, if applicable:
(Principal office address
MUST BGA ST RE1.7 I DDRESS)
Enter new mailing address, if applicable:
(Muiline adr/ress
MAY BE A POST OFFICE BOX)
2. The Florida document number of this limited liability company is:
3. Jurisdiction of its organization:
Delaware
4. lime authorized to do business in Florida: 05/27/2016
SECTION II (5-9 complete only the applicable changes)
M16000004288
7'5. New name of the limited liability company: NCR Payment Solutions, FL, LLC'
(must contain " Limiled Liability Company, " "l..L.C.," or "LLC.
(If name unavailable, enter alternate name adopted for the purpose of transacting business in Florida and attach a
copy of the written consent of the managers or managing members adopting the alternate name. The alternate name
must contain "Limited Liability Company;' • I..I..C.•' or" I.I.C.'•)
6. if amending the registered agent and/or registered elf icer address on our records, enter the name of the new
registered agent and/or the new registered uffice address here:
Name of New Rceistered Agent:
New Rceistered Office Address:
Enter !•7ru-id« .5'rrccr A<hlrr.c.c
, Florida
C•irn %ip Cod"
New Registered Agcnt*s Sir_mnure. if chaneinu Rceistered ALcm
l /I[•rChv (weepi tht• appo UVIB9r( of I"i �iSI1TCrl rrgerrl raid atl've III a('I in lhir Capacif v. / 1ior-rher a(rev tr, c`omplY widr
the prurisi(als u% u(! sttlrars relarirr lo the lWopor car ( a fn;v dtaics, and ! am (rarilim. n•ilh
unit acrrp/ rhe obh;gati(ins nfnm puriliw+ as rr•Civerrd r{Grn! ns provided %or in Chapter 6/15, F.S. Or. if this
docun+rpt is hvia, lned tr+ nwic h rrllrrl «change in rhr ir,,isrrrrd a/Jic mldrr.ce, I herchv rew rnr rhnr the liwilyd
/luhi!!m <•raapagr Gas hrrn noti%icd is wriihkv n% chis clung,'.
I f Changing Registered Agem. Signature of New Rceistered Aecnt
%9-2
,7. If tlzc amendment chanties 1he jurisdiction of organization, indicate new jurisdiction:
K. If the amendment changes person, title or capacity in accordance with 605.0902 (1)(e), indicate that change:
Title/ Capacity Name Address Type of Action
❑Add
❑ Remove
CAM
oAd
y 't
=i
C)
RIqnave
---
•� ���
C)
[-]Add
❑ ltemove
❑ Add
❑ Remove
❑ Add
❑ 1(crnove
9. Attached is a certificate, Wrequired: no more; than 90 clays old, evidencing the
aforementioned amendment(s), duly authenticated by the official h:rving custody of records in the
.jurisdiction under (lie law or whir th' entity is ur��tt cl.
,'tgnalure ol Hie authorized representative
Vladimir Samoylenko
Typed or printed rtante of%ignee
hilint, l�cc: $2.5.00