Form Not - Transfer Of Reserved Name (Domestic And Foreign Entity) Page 2

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FILING INSTRUCTIONS
TRANSFER OF RESERVED NAME
NAME RESERVED AND APPLICANT’S NAME
Please state the exact name as reserved with the Secretary of State. The applicant’s name is the individual or the business entity that reserved the
name for the applicants exclusive use for the remainder of the 120 day period. NOTE: The notice of transfer of reserved name will not renew the
reservation. The reserved name, as transferred, will expire 120 days from the date the name was reserved with the Secretary of State.
WHO MAY SIGN
The individual applicant must sign the notice of transfer of reserved name. If the applicant is a business entity the person executing the notice on behalf
of the business entity must state his or her title or the capacity in which he or she signs.
PRINCIPAL OFFICE ADDRESS
The principal office is the office (in or out of this state) so designated in writing with the Office of the Secretary of State where the principal designated
office of the business entity is located. This address is where all correspondence from the Office of the Secretary of State (See Document Delivery) will
be mailed.
DOCUMENT DELIVERY
A file stamped postcard will be sent to the principal office address. If the applicant wishes for the document to be sent to an alternate address other than
the principal office, a request must be submitted in writing affirming that request. Alternate address requests must be submitted with each document
filed with the Office of the Secretary of State.
NUMBER OF COPIES
If filing via mail or in person, one exact or conformed copy of the documents with the filing fee must be submitted to the address below. To make a copy
of the filing for delivery to the local county clerk’s office, visit and print a copy from the organization search tool.
DELAYED EFFECTIVE DATE AND TIME
The document will be effective on the date and time of filing, unless a delayed effective date and/or time is specified. The effective date or the delayed
th
effective date cannot be prior to the date the application is filed. A delayed effective date may not be later than the 90
day after the date of filing.
FILING FEE
The filing fee for this document is $15.00. Checks should be made payable to the "Kentucky State Treasurer."
MAILING ADDRESS
OFFICE LOCATION
Alison Lundergan Grimes
Room 154, Capitol Building
Secretary of State
700 Capital Avenue
P.O. Box 718
Frankfort, KY 40601
Frankfort, KY 40602-0718
Hours of Operation: 8:00 AM-4:30 PM ET
CONTACT INFORMATION AND NAME AVAILABILITY
If you have any questions, need additional forms or wish to search for name availability, please feel free to visit our website at or call
(502) 564-3490.
(01/12)

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