CEREREpentru inscrierea modificarilor actului constitutiv si/sau statutului*)

*) Inclusiv schimbarea sediului persoanei juridice fara scop patrimonial. __________________________________________________________________________| 1. Persoana imputernicita pentru efectuarea procedurii: || - Numele/Denumirea ..................................................... || - Domiciliul/Sediul .................................................... ||__________________________________________________________________________| __________________________________________________________________________| 2. Denumirea persoanei juridice fara scop patrimonial .................. ||__________________________________________________________________________| __________________________________________________________________________| 3. Sediul: || - judetul .............................................................. || - localitatea .......................................................... || - adresa ............................................................... || - telefon .............................................................. || - fax .................................................................. || - e-mail ............................................................... ||__________________________________________________________________________| __________________________________________________________________________| 4. Modificarea se refera la ............................................ ||__________________________________________________________________________| __________________________________________________________________________| 5. Actul modificator: actul aditional autentificat de ...... sub nr. ... || din data de .................. ||__________________________________________________________________________| __________________________________________________________________________| 6. Temeiul juridic al cererii: Ordonanta Guvernului nr. 26/2000 ||__________________________________________________________________________| __________________________________________________________________________| 7. Inscrisuri doveditoare: || - Actul aditional ............. exemplare || - Alte acte ............................ ||__________________________________________________________________________| __________________________________________________________________________| 8. Taxa judiciara de timbru ............. lei, conform ................. ||__________________________________________________________________________| __________________________________________________________________________| 9. Timbru judiciar .................. lei ||__________________________________________________________________________| __________________________________________________________________________| 10. Data || 11. Semnatura ||__________________________________________________________________________|