Form 635_9999 - Fictitious Name Resolution - 2010

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MATT SCHULTZ
FICTITIOUS NAME
Secretary of State
RESOLUTION
State of Iowa
TO THE SECRETARY OF STATE OF THE STATE OF IOWA:
I, ______________________________________________________ , certify that I am the [secretary - ch. 490 and 504],
[general partner - ch. 488], [authorized person - ch. 489 and 524], [presiding officer of the board of directors or other association
officer - ch. 499], or [officer - ch. 501A] of __________________________________ ,
a business entity subject to the provisions of:
(name of business entity)
Iowa Business Corporation Act (profit corporation - Iowa Code ch. 490)
Revised Nonprofit Corporation Act (nonprofit corporation - Iowa Code ch. 504)
Revised Uniform Limited Liability Company Act (Iowa Code ch. 489)
Iowa Uniform Limited Partnership Act (Iowa Code ch. 488)
Cooperative Associations (Iowa Code ch. 499)
Cooperative Associations (Iowa Code ch. 501A)
Iowa Banking Act (Iowa Code ch. 524 - requires approval of Iowa Division of Banking)
and I also certify that:
the following is a true and correct copy of a resolution adopted on the ___________ day of ______________ , ________ .
Signature:
_______________________________________________________________
_______________________________________________________________
(Type or print name & title)
RESOLVED, that the business entity adopts the name:
_____________________________________________________________________________________________ ,
under which it may operate in Iowa, that the secretary (ch. 490 and 504), an authorized person (ch. 489 and 524),
general partner (ch. 488), presiding officer of the board of directors or other association officer (ch. 499),
or officer (ch. 501A) of the business entity is authorized to certify a copy of this resolution and is directed to deliver
the copy of the resolution to the Secretary of State of Iowa for filing.
NOTES:
1. The filing fee is $5.00. Make checks payable to SECRETARY OF STATE.
2. The information you provide will be open to public inspection under Iowa Code chapter 22.11.
SECRETARY OF STATE
Business Services Division
Lucas Building, 1st Floor
Des Moines, Iowa 50319
Phone: (515) 281-5204
FAX: (515) 281-7142 or (515) 242-5953
635_9999
Website:
rev. 10/10

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