Chartering a Public Library in New York State

S A M P L E
PETITION TO AMEND AND EXTEND A PROVISIONAL CHARTER

NOTE: THIS IS A SAMPLE DOCUMENT ONLY. PLEASE FOLLOW THIS FORMAT AND THE INSTRUCTIONS IN PARENTHESES ( ) WHEN DRAFTING YOUR OWN PETITION. PLEASE BE SURE TO HAVE THE NOTARY PUBLIC INCLUDE A COMPLETE ACKNOWLEDGMENT OF THE SIGNATURES ON THE PETITION, INCLUDING AN ACKNOWLEDGMENT STATEMENT SUCH AS THAT ON PAGE 2 AND HIS/HER STAMP AND SIGNATURE. IF THE SIGNATURES ARE ACKNOWLEDGED SEPARATELY, EACH ACKNOWLEDGMENT MUST INCLUDE THE STATEMENT, STAMP AND SIGNATURE.

[This document in MS Word format MS Word file [44K] ]

TO THE REGENTS OF THE UNIVERSITY OF THE STATE OF NEW YORK

We the undersigned, being the president and secretary (NOTE: although it is usually the president and secretary, any two officers are acceptable) of ____________________ do hereby apply to the Regents of the University of the State of New York for an amendment to the provisional charter of such corporation and, as so amended, to extend the provisional charter, and do make, sign and acknowledge the following statements:

  1. The name of the corporation is ______________________.
  2. A provisional charter was granted to this corporation on _______ which provisional charter was (give charter history with regard to any amendments or previous extensions; if none, please indicate).
  3. The trustees wish to amend the provisional charter of _______________ to (insert amendment such as name change, change of location, expanded authority of corporation, etc.).
  4. The trustees hereby request that the provisional charter of _________________, as so amended, be extended.

IN WITNESS WHEREOF, we have made, signed and acknowledged this application on the _____ day of ______________ 20___.

Signature of officer       
Typed name/Board President

Signature of officer       
Typed name/Secretary, Board of Trustees

STATE OF NEW YORK )

ss:

COUNTY OF )

On this ____ day of _____ 20___ before me personally came (insert names of officers), to me known to be the persons described in and who executed the foregoing application, and they severally duly acknowledged to me that they executed the same.

(Typed name, stamp and signature of notary public)

S A M P L E
RESOLUTION OF A SPECIAL MEETING OF THE BOARD OF TRUSTEES OF ___________________                                                  

We the undersigned, being the president and secretary (NOTE: although it is usually the president and secretary, any two officers are acceptable) of ______________________, a corporation organized and existing pursuant to a provisional charter granted by the Regents of the University of the State of New York, hereby certify that the following is a true and complete copy of a resolution duly adopted by the affirmative vote of not less than three-fourths of the whole number of trustees at a meeting held on the _____ day of ___________ 20___, and that such resolution remains in full force and effect.

RESOLVED: That the board of trustees of ________________ hereby requests that the Board of Regents of the University of the State of New York amend the provisional charter of such corporation to (include the amendment as in the petition); and that such provisional charter, as so amended, be extended; and be it further

RESOLVED: That the President and Secretary (or whichever two officers executed the petition) of the corporation, on behalf of the board of trustees be and they hereby are authorized to execute a petition to be addressed "To the Regents of the University of the State of New York" for such purpose.

IN WITNESS WHEREOF, we have made, signed and acknowledged this application on the ______ day of _____________ 20___.

Signature of officer       
Typed name/Board President

Signature of officer       
Typed name/Secretary, Board of Trustees

STATE OF NEW YORK )

ss:

COUNTY OF )

On this _____ day of ______ 20____ before me personally came (insert names of officers), to me known to be the persons described in and who executed the foregoing application, and they severally duly acknowledged to me that they executed the same.

(Typed name, stamp and signature of notary public)

Last Updated: August 28, 2009