COMMONWEALTH OF KENTUCKY
JOHN Y. BROWN III
SECRETARY OF STATE
APPLICATION FOR REGISTRATION OR RENEWAL OF LIMITED LIABILITY COMPANY NAME
Pursuant to the provisions of KRS Chapter 275, the undersigned hereby applies for registration or renewal of its
company name on behalf of the limited liability company named below and for that purpose submits the
2. The name of the limited liability company is
3. The state or country of organization is____________________________________________________.
4. The date of organization is_____________________________________________________________.
5. The nature of the business of the limited liability company is
I certify that, as of the date of filing this application, the above named foreign limited liability company validly
exists as a limited liability company under the laws of the jurisdiction of its formation.
Type or Print Name & Title
(See attached sheet for instructions)
Application for Registration of Limited Liability Company Name Filing Instructions