Illinois Code § 215 ILCS 110/22

Amendments to a charter shall be made by application to the
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Director and shall be subject to his approval.

 
Amendments to a charter having the effect of adding one or more
additional counties in which the dental service plan corporation shall
operate may, if a majority of the dentists residing and in active practice
therein have agreed to become participating dentists, be adopted by the
affirmative vote of a majority of the trustees then in office.

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