Form Res - Reservation Or Renewal Of Reserved Name (Domestic Or Foreign Entity)
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1
2C
K
OMMONWEALTH OF
ENTUCKY
ELAINE N. WALKER, SECRETARY OF STATE
____________________________________________________________________________________________________________________________
Division of Corporations
Reservation or Renewal of Reserved Name
RES
Business Filings
(Domestic or Foreign Entity)
PO Box 718
Frankfort, KY 40602
(502) 564-3490
____________________________________________________________________________________________
Pursuant to the provisions of KRS 14A and KRS 271B, 273, 274, 275, 362 or 386, the undersigned applies to reserve or
renew a name and, for that purpose, submits the following statement:
1. The activity request is:
Reservation
Renewal
2. The proposed name to be reserved or renewed with the Secretary of State for a period of 120 days is
_________________________________________________________________________________________________.
3. The name is reserved as:
A corporate name (KRS 271B, KRS 273 or KRS 274)
A limited liability company name (KRS 275)
A limited partnership name (KRS 362)
A limited liability partnership name (KRS 362)
A business trust name (KRS 386)
4. The name and mailing address of the applicant is:
______________________________________ ________________________________ _____________ ______________.
Street Address or Post Office Box Numbers
City
State
Zip
5. This application will be effective upon filing, unless a delayed effective date and/or time is provided. The effective date or
the delayed effective date cannot be prior to the date the application is filed. The date and/or time is___________________.
(Delayed effective date
and/or time)
I declare under penalty of perjury under the laws of Kentucky that the forgoing is true and correct.
__________________________________ ____________________________________ _____________________ ________________
Signature of Applicant
Printed Name
Title
Date
(01/11)
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