HomeMy WebLinkAboutNC0032174_owner (name change)_20240812ROY COOPER
Governor -
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR. NORTH CAROLINA
Dtrector Environmental Quality
PERMIT NAME/OWNERSHIP CHANGE FORM
CURRENT PERMIT INFORMATION:
Permit Number:
1. Facility Name:_
NC00 3 / zl /I-Lf/
cl[o L•
NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
a. Change in ownership of property/company
b. Name change only
c. Other (please explain):
2. New owner's name (name to be put on permit):
or NCG5_/ / /_/_
3. New owner's or signing official's name and title: VV,, C + L5P vl
(Person legally rekponiible for permit)
(Title)
4. Mailing address: O t ll� �✓�a City: 0,,L. �� 5
State: 9 Zip Code: 2-� ��� Phone:
E-mail address:
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
[see reverse side of this page for signature requirements]
North Carolina Deparhneul orEnviroiunental Quality I Division of Water Resources
D EQ 512 North Salisbury Street 1 1617 Mail Service Canter I Raleigh, North Carolina 27699-1617
bg!C o N 1 919.707.9000
1�13Mt nl �FtiM'NaivnellF�l QuaNly�
Page 2 of 2
Applicant's Certification:
I , ��- �= Jp✓1� attest that this application for a
name/ownership chang as been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all required parts of this application are not completed and that
if all required supporting information and attachments are not included, this application
package will be returned as incomplete.
Signature.- Date:
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEQ / DWR / NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617
NORTH CAROLINA
A Department of the Secretary of State
To all whom these presents shall come, Greetings:
I, ELAINE F. MARSHALL, Secretary of State of the State of North Carolina, do hereby
certify the following and hereto attached to be a true copy of
APPLICATION FOR AMENDED CERTIFICATE OF AUTHORITY
OF
MESA GLOBAL
the original of which was filed in this office on the 15th day of May, 2024.
IN WITNESS WHEREOF, I have hereunto set my
hand and affixed my official seal at the City of
Raleigh, this 15th day of May, 2024.
40a4111
/J
Scan to verify online.
Certification# C202412803302-1 Reference# C202412803302-1 Page: 1 of 5 Secretary Of State
Verify this certificate online at https://www.sosnc.gov/verification
SOSID: 0241480
Date Filed: 5/15/2024 4:12:00 PM
Elaine F. Marshall
North Carolina Secretary of State
State of North Carolina C2024 128 03302
Department of the Secretary of State
APPLICATION FOR AMENDED CERTIFICATE OF AUTHORITY
NONPROFIT CORPORATION
Fursaarit to §55A-15-04 of the General Statutes of North Caralbia, the tmdersigaed corporation hereby applies for an Amended
Certificate of Authority to conduct affairs in the State ofNorth Carolina and for that purpose submits the following statement
1. The name nfthe eorporstio. i.: United World Mission Incorporated
2. The name Qte corporation is correatly using in the State ofNorth Carolina is:
United World Mission Incorporated
3. The state or country of organization is:01110 -_ -- -.- - --- ^ -
4. The date the corporation was authorized to conduct affairs in the State ofNorth Carolina is: 01 /12/1989
5. This application is filed for the following reason (complete all applicable items}
a. The corporation has changed its corporate new to••
Mesa Global
b. The name the corporation will hereafter use in the State of North Carolina is changed to:
Mesa Global
c. The corporation has changed its period of duration to:
d- The corporation has changed the state or country of its incorporation to:
6. Attached is a certificate attesting to the ebangc, duly authenticated by the Secretary of State or other official having custody
of corporate records in the state or country of incorporation.
7. 1 f the corporation is required to use a fictitious name in order to conduct affairs in this State. a copy of the resolution of its
board of directors, certified by its secretary, adopting the fictitious name is attached.
8. This application will be effective upon filing, unless a date andfor time is specified:
This the7th day of May , 2024
Mesa Global
Name of Co 0
Si
Bruce Alan Lundeen, Corporate Treasurer
Type or Print Name and Title
NOTES
1 Fling fee is 525. This application onus be filed with the Secretary of State
•lf the n®e of the corporation as changed is unavailable forum in North Carolina, indicate this Pact and state the new the corporation wishes
to use in North Camlma on fib. (SeeN.C.G.S. §55A-I54K)
BUSINESS REGISTRATION DIVISION PO BOX 29622 RALEIGH, NC 27626-0622
(Revised August 2017) (Form N-10)
Certification# C202412803302-1 Reference# C202412803302- Page: 2 of 5
DOC ID ---- >202412705448
DATE DOCUMENT ID DESCRIPTION
05/07/2024 202412705448 AMENDMENT TO ARTICLES (AMD)
Receipt
This is not a bill. Please do not remit payment.
UNTITED WORLD MISSION
205 REGENCY EXECUTIVE PARKWAY
SUITE 430
CHARLOTTE, NC 28217
FILING EXPED CERT COPY
50.00 0.00 0.00 0.00
STATE OF OHIO
CERTIFICATE
Ohio Secretary of State, Frank LaRose
197186
It is hereby certified that the Secretary of State of Ohio has custody of the business records for
MESA GLOBAL
and, that said business records show the filing and recording of-
Document(s) Document No(s):
AMENDMENT TO ARTICLES 202412705448
SF,CRET4RY
United States of America
State of Ohio
Office of the Secretary of State
Effective Date: 05/06/2024
Witness my hand and the seal of the
Secretary of State at Columbus, Ohio this
7th day of May, A.D. 2024.
Ohio Secretary of State
Certification# C202412803302-1 Reference# C202412803302- Page: 3 of 5
DOC ID ---- >202412705448
Form 541 Prescribed by:
Frank LaRose
W°sw 4s
Check the appropriate box:
Toll Free: 877.767.3453 1 Central Ohio: 614.466.3910
OhioSoS.gov I business@OhioSoS.gov
File online or for more information: OhioBusinessCentral.gov
Certificate of Amendment
(Nonprofit, Domestic Corporation)
Filing Fee: $50
Form Must Be Typed
❑X Amendment to existing Articles of Incorporation by Members pursuant to Ohio Revised Code section 1702.38(C) 028-AMD)
Amended and Restated Articles by Members pursuant to Ohio Revised Code section 1702.38(D) or by Directors pursuant to
❑ Ohio Revised Code section 1702.38(E) (126-AMAN) -The following articles supersede the existing articles and all
amendments thereto.
Name of Corporation UNITED WORLD MISSION INCORPORATED
Charter Number 197186
copy of the resolution of amendment must be attached to this document.
Note: If amended and restated articles were adopted, amended articles must set forth all provisions required in
original articles other than with respect to the initial directors pursuant to Ohio Revised Code section 1702.38(A). Ir
the case of adoption of the resolution by the directors, a statement of the basis for such adoption shall be provided.
Form 541
Page 1 of 2
Certification# C202412803302-1 Reference# C202412803302- Page: 4 of 5
Last Revised: 06/2019
DOC ID ---- >202412705448
By signing and submitting this form to the Ohio Secretary of State, the undersigned hereby certifies that he or she
has the requisite authority to execute this document.
Required
\s\ Bruce Alan Lundeen
Must be signed by an Signature
authorized officer of the
Corporation pursuant to [Corporate Treasurer
the Ohio Revised Code
section 1702.38(G). By (if applicable)
If authorized representative
is an individual, then they Bruce Alan Lundeen
must sign in the "signature" Print Name
box and print their name
in the "Print Name" box.
If authorized representative
is a business entity, not an Signature
individual, then please print
the business name in the
"signature" box, an
authorized representative
of the business entity By (if applicable)
must sign in the "By" box
and print their name in the
"Print Name" box.
Print Name
Form 541
Page 2 of 2
Certification# C202412803302-1 Reference# C202412803302- Page: 5 of 5
Last Revised: 06/2019