FILING FEE: $25.00
PRINT CLEARLY
TRADE NAME REPORT
TO:
OKLAHOMA SECRETARY OF STATE
2300 N. Lincoln Blvd., Room 101, State Capitol Building
Oklahoma City, Oklahoma 73105-4897
(405) 521-3912
The undersigned business entity, in order to do business in Oklahoma under a name other than its legal
name, hereby submits the following trade name report pursuant to Title 18, Oklahoma Statutes, Section
1140:
1.
The trade name under which the business is carried on in Oklahoma is:
____________________________________________________________________________________
(The trade name must be different than the legal name listed in Item 4 below.)
2.
Business is carried on under such trade name at the following address(es):
____________________________________________________________________________________
____________________________________________________________________________________
3.
A brief description of the kind of business being transacted under such trade name:
4.
The legal name of the "corporation or business entity" doing business under the trade name is:
____________________________________________________________________________________
5.
The type of "business entity" filing the trade name report is (check one of the following):
( ) corporation
( ) business trust
( ) common law trust
( ) limited liability company ( ) unincorporated business
( ) partnership
6.
The business entity was formed in the state of:________________________________________
(REVERSE SIDE OF FORM MUST BE SIGNED AND DATED.)