Request For A Certificate Of Name Compliance - Oregon Department Of Consumer And Business Services
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1Oregon Department of Consumer and Business Services
Division of Finance and Corporate Securities
350 Winter St. NE, Rm. 410, Salem, Oregon 97301-3881
Mailing address: P.O. Box 14480, Salem, OR 97309-0405
503-378-4140 Fax: 503-947-7862
REQUEST FOR A CERTIFICATE OF NAME COMPLIANCE
ORS 56.023
1)
The exact business name to be filed with the Secretary of State:
2) Brief description of the business services to be offered:
3) Location of the Oregon business office and principal contact:
Address:
Phone:
Contact person:
Title:
4) If headquartered out of state, address and telephone number of the principal home office:
Address:
Phone:
5) Complete contact information for the principal of the business: (name, title, address, phone number)
Contact person:
Title:
Address:
Phone:
6) Is this a bank or trust company?
Yes
No
If yes, explain your proposed business activities:
7) Will this company be offering bank or trust services to the public?
Yes
No
If yes, explain your proposed business activities:
8) Indicate where we will send our response, by name, phone number, and address:
Name:
Phone:
Address:
9) Signature of the principal of the business listed in #5:
Please direct your request to: Division of Finance and Corporate Securities
Banks and Trusts Program
P.O. Box 14480, Salem, OR 97301
Fax: 503-947-7862 • E-mail: banks.trusts@state.or.us
440-4867 (10/09/COM)
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