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STATEMENT EXTENDING BUSINESS PURPOSES.
(Secs. 1327, 1328 and 1329.)

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Be it known that on the 19, a meeting of the stockholders of the was held at the city of county of State of Missouri, for the purpose of amending the articles of association of said company, and include in its business purposes (set out fully the language of the amendment), pursuant to notice signed by a majority of the directors of said company, duly published in the newspaper published in the city of sixty days prior to said date, the first insertion of said notice day of

- а

19, and the last insertion on the

day of

for more than being on the —, 19.

That a copy of said notice, postage prepaid, was deposited in the postoffice in the city of ——, Missouri, addressed to each stockholder, at his usual place of residence, at least sixty days previous to the day fixed for said meeting.

That said meeting was organized by choosing

chairman, and -, secretary thereof.

a director in said company,

That at said meeting there were present, in person or by proxy, at least a majority of the stockholders holding the full value of all the shares of stock of said company.

A proposition was then and there submitted to amend section seven of the articles of association of said company to extend its business to and include the And upon canvassing the vote thereon it appeared that a majority of the stock of said company had been voted in favor of such amendment.

Attest:

Secretary.

Chairman.

chairman, being duly sworn, says the matters and things set forth

in the foregoing statement are true.

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Chairman.

County of

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On this 19, before me personally appeared known to be the person described in, and who executed the foregoing instrument, and acknowledged that he executed the same as his free act and deed.

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Witness my hand and seal the day and date last aforesaid. My commission ex19-.

(Seal) Notary Public. NOTE.-This statement must be sworn to by the chairman, and also acknowledged by the chairman before a proper officer, and then recorded in the office of the recorder of deeds, and a certified copy from the recorder filed in the Department of State. State's fee for certificate, $1.25.

AFFIDAVIT OF DISSOLUTION.
(Sec. 1018.)

(President or Secretary), of the

day of

being duly sworn, on his oath, 19, by a unanimous vote

says that said corporation was on the of its stockholders, duly dissolved; that the liabilities of said company have been fully discharged; that the assets have been distributed, and that the certificates of stock have been surrendered and cancelled.

of

President or Secretary.

Subscribed and sworn to before me, a Notary Public, within and for the
19. My commission expires

this
(Seal)

day of

19-.

-, Notary Public. NOTE.-This affidavit, when filed in the office of the Secretary of State, will relieve the company from making further annual reports to that office; but will not relieve it, or its stockholders, of liabilities, should any exist. Provision is made by law, which took effect August 20, 1899, for the voluntary dissolution of a corporation, under sections 978, 979, 980 and 981. Fee for a certified copy, $1.25.

FOREIGN CORPORATIONS.

(Secs. 1024, 1025, 1026, 1027, 1315, 1316 and 1317.)

A foreign corporation desiring to obtain certificate of authority and license to do business in Missouri is required to file in the office of the Secretary of State:

First-A copy of its articles of association and charter certified by the Secretary of State of the state in which the company is incorporated. The articles should show that the full amount of the capital stock, which cannot exceed $10,000,000, has been bona fide subscribed, and that at least one-half thereof has been paid up, according to the laws of Missouri. If the articles should not set out these facts, but if subsequent to its incorporation the full amount of the authorized capital has been bona fide subscribed, and one-half thereof has been paid up, it will be permissible for an authorized officer of the company to make affidavit to that effect in the following form:

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of the par value of

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-, on the

day of

dollars each, as authorized by its certificate of incorporation

issued by the Secretary of State of the state of 18-, do hereby certify that all of said stock has been bona fide subscribed and per cent. (not less than 50) actually paid up according to the laws of the State of Missouri.

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Second-A statement, duly sworn to by the principal officer or agent in Missouri, setting forth the proportion of the capital stock which is represented by its property located and business transacted in Missouri; and designating a public office or place of business in this State for the transaction of its business where legal service may be obtained upon it, as follows:

State of Missouri,

County of

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SS.

of lawful age, being duly sworn, upon his oath, states that he is the (Principal Officer or Agent as the case may be) of a corporation duly incorporated under the laws of the state of day of 18-,

on the

for a term of years, and represents said corporation in the State of Missouri; that the amount of capital stock of said corporation is dollars; and the proportion of the capital stock of said corporation which is represented by the property located and business transacted in the State of Missouri is dollars; and that the public office of said corporation or place for the transaction of its business in the State of Missouri is located at the city of

Missouri.

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Third-Affidavit that said corporation is not in contravention of the laws of Missouri against pools, trusts and conspiracies, as follows: State of Missouri,

County of

I,

the

of

on the

SS.

(President, Secretary Treasurer or Director), do solemnly swear that I am of the corporation known and styled -, duly incorporated under the laws 18, and that I am duly authorized to represent

day of

said corporation in the making of this affidavit. And I do further solemnly swear that the said is not now, a member of or a party to any pool, trust, agreement, combination, confederation or understanding with any other corporation, partnership, individual, or any other person or association of persons, to regulate or fix the price of any article of manufacture, mechanism, merchandise, commodity, convenience, repair, any product of mining, or any article or thing whatsoever, or the price or premium to be paid for insuring property against loss or damage by fire, lightning or storm, and that it has not entered into or become a member of or a party to any pool, trust, agreement, contract, combination or confederation to fix or limit the amount or quantity of any article of manufacture, mechanism, merchandise, commodity, convenience, repair, any product of mining, or any article or thing whatsoever, or the price or premium to be paid for insuring property against loss or damage by fire, lightning or storm, and that it has not issued and does not own any trust certificates, and for any corporation, agent, officer or employe, or for the directors or stockholders of any corporation, has not entered into and is not now in any combination, contract or agreement with any person or persons, corporation or corporations, or with any stockholder or director thereof, the purpose and effect of which said combination, contract or agreement would be to place the management or control of such combination, or combinations, or the manufactured product thereof, in the hands of any trustee or trustees with the intent to limit or fix the price or lessen the production and sale of any article of commerce, use or consumption, or to prevent, restrict or diminish the manufacture or output of any article; and that it has not made or entered into any arrangement, contract or agreement with any person, association of persons or corporation designed to lessen, or which tends to lessen, full and free competition in the importation, manufacture or sale of any article, product or commodity in this State, or under the terms of which it is proposed, stipulated, provided, agreed or understood that any particular or specified article, product or commodity shall be dealt in, sold or offered for sale in this State to the exclusion, in whole or in part, of any competing article, product or commodity.

(President, Secretary, Treasurer or Director.)

Subscribed and sworn to before me this (Seal)

day of

19-.

Notary Public.

Fourth-And certified check payable to the order of State Treasurer, to cover the State tax and fees, estimated as follows: On a capital of $50,000, or less, invested in Missouri, $50.00; license, $10.00, and fee for issuing certificate, $1.50; total, $61.50. For each $10,000 capital so invested in excess of $50,000, $5.00 additional.

FORM FOR INCORPORATING FARMERS' MUTUAL FIRE AND LIGHTNING INSURANCE COMPANIES.

(Sec. 8079.)

Know all men by these presents:

State of

That we, the undersigned citizens and residents of the county of Missouri, desirous of forming a Farmers' Mutual Fire and Lightning Insurance company under the laws of Missouri, and more particularly under the provisions of section 8079, R. S. 1899, have adopted the following constitution and by-laws:

CONSTITUTION.

First-The name of this company shall be the

Lightning Insurance Company.

Farmers' Mutual Fire and

Second-The chief office and place of business of this company shall be at

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Third-The business of this company shall be managed by a board of directors consisting of members; and the names of those selected for the first year are

(Here complete the constitution.)

BY-LAWS.

(Here insert the by-laws.)

In testimony whereof, we have hereunto set our hands this

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NOTE.-Should be signed by all the members, and verified by the affidavit of the directors named. Tax, $10.00, and fees for certificates, $2.50.

FORM FOR INCORPORATING FARMERS' MUTUAL TORNADO, WINDSTORM AND CYCLONE INSURANCE COMPANIES.

Know all men by these presents:

(Secs. 8080 and 8081.)

That we, the undersigned citizens and residents of the county of - State of Missouri, desirous of forming a Farmers' Mutual Tornado, Windstorm and Cyclone Insurance Company under the laws of Missouri, and more particularly under the provisions of sections 8080 and 8081, R. S. 1899, have adopted the following constitution and by-laws.

CONSTITUTION.

First-The name of this company shall be the Windstorm and Cyclone Insurance Company.

Farmers' Mutual Tornado,

Second-The chief office and place of business of this company shall be at county of —, State of Missouri.

Third-The business of this company shall be managed by a board of directors, consisting of members; and the names of those selected for the first year are

(Here complete the constitution.)

BY-LAWS.

(Here insert the by-laws.)

In testimony whereof, we have hereunto set our hands this

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NOTE.-Should be signed by all the members, and verified by the affidavit of the directors named. Tax, $10.00, and fess for certificates, $2.50.

FORM FOR INCORPORATING FARMERS' MUTUAL HAIL INSURANCE COMPANIES.

Know all men by these presents:

(Secs. 8082 and 8083.)

That we, the undersigned, citizens and residents of the county of -——————————, State of Missouri, desirous of forming a Farmers' Mutual Hail Insurance Company under the laws of Missouri, and more particularly under the provisions of sections 8082 and 8083, R. S. 1899, have adopted the following constitution and by-laws:

CONSTITUTION.

First-The name of this company shall be the

Insurance Company.

Farmers' Mutual Hail

Second-The chief office and place of business of this company shall be at county of -, State of Missouri.

Third-The business of this company shall be managed by a board of directors, members; and the names of those selected for the first year are

consisting of

(Here complete the constitution.)

-BY-LAWS.

(Here insert the by-laws.)

In testimony whereof, we have hereunto set our hands this

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NOTE.-Should be signed by all the members, and verified by the affidavit of the directors named. Tax, $10.00, and fees for certificates, $2.50.

FORM FOR INCORPORATING TOWN MUTUAL FIRE, LIGHTHNING, TORNADO WINDSTORM OR CYCLONE INSURANCE COMPANIES. (Secs. 8085 and 8087.)

Know all men by these presents:

That we, the undersigned, citizens and residents of the county of ▬▬▬▬▬▬▬▬▬▬▬, in the State of Missouri, desirous of forming a Town Mutual Fire, Lightning, Windstorm, Tornado or Cyclone Insurance Company under the laws of Missouri, and more particularly under article XI, chapter 119, R. S. 1899, have adopted the following constitution and by-laws.

CONSTITUTION.

First-The name of this company shall be the Town Mutual Fire, Lightning, Windstorm, Tornado, or Cyclone Insurance Company of

Second-The chief office and place of business of this company shall be at

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Third-The business of this company shall be managed by a board of directors, consisting of members; and the names of those selected for the first year are

(Here complete the constitution.)

BY-LAWS.

(Here insert the by-laws.)

In testimony whereof, we have hereunto set our hands this

State of Missouri,

SS.

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(To be signed by all the members.)

County of

Before me, the undersigned Notary Public within and for the county of personally appeared who being by me severally sworn, on his oath each for himself, did say that he has been selected as a director of the Town Mutual ———; that the foregoing is a true and complete copy of the constitution and by-laws adopted by said company; and that, to his personal knowledge, said company has bona fide contracts for insurance to aggregate one thousand dollars in premiums.

Subscribed and sworn to before me this
(Seal)

(To be signed by all the directors.)
day of
19-.
Notary Public.

My commission expires INSTRUCTIONS: Care should be taken in the preparation of the Constitution and by-laws that they do not conflict with other provisions of the insurance law. The instrument should be signed by all of its members; but the affidavit must be signed only by all of its directors. The certificate of incorporation must be recorded in the office of the recorder of deeds in the county where the company is located and a copy of such recorded certificate must be filed with the Insurance Department. The State tax and fee for certificate of incorporation will be $12.50, in check payable to the order of the State Treasurer, but should be inclosed with the papers to the Secretary of State.

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