State of North Carolina
Department of the Secretary of State
NOTICE OF TRANSFER OF RESERVED LIMITED LIABILITY
COMPANY NAME
Pursuant to §57C-2-31(b) of the General Statutes of North Carolina, notice is hereby given that the
undersigned has transferred the following reserved limited liability company name:
1. The reserved limited liability company name
is:____________________________________________
2. The reserved limited liability company name is hereby transferred to:
Name_____________________________________________________________________________
Address___________________________________________________________________________
City, State, Zip Code_________________________________________________________________
3. The date of filing of the original application to reserve this limited liability company name was:
_____________________________________________________________________________________
This the _____ day of ___________________ , 20 _____
____________________________________
Name of Original Applicant/Transferor
___________________________________
Signature
____________________________________
Type or Print Name and Title
NOTES:
1.
Filing fee is $10. One executed notice and one exact or conformed copy of this notice must be filed with the
Secretary of State.
(Revised January 2000)
(Form L-04)
CORPORATIONS DIVISION
P.O. BOX 29622
RALEIGH, NC 27626-0622