Form 180-Rnn - Notice Of Change Of Ownership

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J. Kenneth Blackwell
Prescribed by
Please obtain fee amount and mailing instructions from the Forms
Inventory List (using the 3 digit form # located at the bottom of this
form). To obtain the Forms Inventory List or for assistance, please
call Customer Service:
Central Ohio: (614)-466-3910 Toll Free: 1-877-SOS-FILE (1-877-767-3453)
NOTICE OF CHANGE OF OWNERSHIP OF:
Fictitious Name
Mark of Ownership
Service Mark
Trade Mark
Trade Name
Name:
Registration no.:
Date of Original Registration:
Date of First Use:
Change of ownership has occurred by:
Change of ownership through a Certificate of Merger
Change of owner's name through a Certificate of Merger
Change of owner's name through a Certificate of Amendment/Correction or Certificate of Amended/Restated Articles
Change of owner's name through a Foreign Certificate of Amendment
New name of owner, having Charter/License/Registration no.
is:
(street address)
(city, township, or village)
(county)
(state)
(zip code)
IN WITNESS WHEREOF, the undersigned owner has executed this Notification of Change of Ownership on
Signature:
(Owner, Registrant, or General Partner)
Name:
180-RNN
Page 1 of 1
Version: 7/15/99

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