Form 635_0051 - Application For Reservation Of Name - Iowa Secretary Of State

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APPLICATION FOR
MATT SCHULTZ
Secretary of State
RESERVATION
State of Iowa
OF NAME
TO THE SECRETARY OF STATE OF THE STATE OF IOWA:
The undersigned applies to reserve exclusive use of a business organization name, pursuant to the:
(check one)
Iowa Business Corporation Act (profit corporations)
Revised Iowa Nonprofit Corporation Act (nonprofit corporations)
Iowa Revised Uniform Limited Liability Company Act
Iowa Uniform Limited Partnership Act - The new applicant is:
(check one)
A person intending to organize a limited partnership under this chapter and to adopt the name.
A limited partnership or a foreign limited partnership authorized to transact business in this state
intending to adopt the name.
A foreign limited partnership intending to obtain a certificate of authority to transact business in
this state and adopt the name.
A person intending to organize a foreign limited partnership and intending to have it obtain a
certificate of authority to transact business in this state and adopt the name.
A foreign limited partnership formed under the name.
A foreign limited partnership formed under a name that does not comply with section 488.108,
subsection 2 or 3.
Iowa Cooperative Associations Act (Iowa Code Ch. 501A)
1. The name to be reserved is ________________________________________________________________
2. The name and address of the applicant is
Name ________________________________________________________________________________
Address _______________________________________________________________________________
City, State, Zip _________________________________________________________________________
Signature _________________________________________________________________________________
Type or print name & title ____________________________________________________________________
Date ____________________________
NOTES:
1. The filing fee is $10.00. 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_0051
rev 01/11
Website:

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