By _______________________________________________
Its President or Vice President
Attest ____________________________________________
Its Secretary or Assistant Secretary
Notes :
1. The period of reservation of the corporate name has not expired, or if such period has expired, that
name is available for corporate use pursuant to the provisions of the Code of Laws of the District of
Columbia.
2. The period of reservation of the corporate name has expired and is not available for corporate use
pursuant to the Code of Laws of the District of Columbia as amended, then the proclaimed corporation
shall set forth in the application and petition the new name by which it will hereafter be known.
FEES DUE: (MAKE CHECK PAYABLE TO THE D.C. TREASURER)
Filing Fee ...........$200.00