Form Ran - Certificate Of Renewal Of Assumed Name (Domestic Or Foreign Business Entity)
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1
2C
K
OMMONWEALTH OF
ENTUCKY
A
L
G
, S
S
LISON
UNDERGAN
RIMES
ECRETARY OF
TATE
_________________________________________________________________________________________________________________________
Division of Business Filings
Certificate of Renewal of Assumed Name
RAN
Business Filings
(Domestic or Foreign Business Entity)
PO Box 718
Frankfort, KY 40602
(502) 564-3490
__________________________________________________________________________________________
Pursuant to the provisions of KRS 365, the undersigned applies to renew an assumed name and, for that purpose,
submits the following statements:
1. This certifies that the assumed name of the business entity is:
______________________________________________________________________________________________________________________.
2. The assumed name is being renewed by:
______________________________________________________________________________________________________________________.
(The "real name" of entity or partners)
3. The “real name” is
(you must check one):
_____a Domestic General Partnership
_____a Foreign General Partnership
_____a Domestic Limited Liability Partnership
_____a Foreign Limited Liability Partnership
_____a Domestic Limited Partnership
_____a Foreign Limited Partnership
_____a Domestic Business Trust
_____a Foreign Business Trust
_____a Domestic Corporation
_____a Foreign Corporation
_____a Domestic Limited Liability Company
_____a Foreign Limited Liability Company
4. The business entity is organized and existing in the state or country of ______________________________________.
5. The mailing address of the business entity is:
_____________________________________________ _________________________ ___________ ____________.
Street Address or Post Office Box Numbers
City
State
Zip
I declare under penalty of perjury under the laws of Kentucky that the forgoing is true and correct.
_____________________________________________ ________________________________ __________________
Signature of Authorized Party
Printed Name
Date
(01/12)
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