APPLICATION
TO RESERVE A LIMITED LIABILITY COMPANY NAME
Pursuant
to Section ______________________ of the Statutes of the State of
______________________, the undersigned hereby applies to the Secretary of
State to reserve the following limited liability company name:
1. The limited liability company name to be
reserved is ______________________
____________________________________________________________
(Name).
2. The name of the applicant is: ____________________________________(Name).
3. The address of the applicant is:
___________________________________________________
(Address)
___________________________________________________
(City, State, Zip Code)
4. The above limited liability company name is
to be reserved for a nonrenewable period of 120 days (or such other period as is permitted by statute)
from the date of the filing of this application.
This
the ____________ day of ___________________ (month),
______ (year).
__________________________________________________
(Signature)
__________________________________________________
(Name and Title)