Form Dscb:54-502 - Registration Of Renewal Unincorporated Association Name Page 2
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2DSCB:54-502–Instructions
Pennsylvania Department of State
Bureau of Corporations and Charitable Organizations
P.O. Box 8722
Harrisburg, PA 17105-8722
(717) 787-1057
Website:
Education, the Department of Banking and Securities, the
General Information
Insurance Department or the Public Utility Commission.
Typewritten is preferred. If handwritten, the form must be
There are also words and abbreviations that may be restricted,
legible and completed in black or blue-black ink in order to
prohibited, or may be permitted in certain instances as
permit reproduction. The nonrefundable filing fee for this
provided in various federal statutes, Attorney General
form is $70. Checks should be made payable to the
opinions and Bureau regulations.
Department of State. Checks must contain a commercially
pre-printed name and address.
Attachments
This form and all accompanying documents, including any
The following, in addition to the filing fee, shall accompany
necessary governmental approvals, shall be mailed to the
this form:
address stated above.
(1) Any necessary copies of form DSCB:19-17.2
(Consent to Appropriation of Name).
Who should file this form?
(2) Any necessary governmental approvals.
Any domestic unincorporated association seeking to register
an association name for a period of up to one year may file
Form Instructions
this form. This form is only to be used when the association is
Enter the name and mailing address to which any
not otherwise required to be formed or organized by another
correspondence regarding this filing should be sent. This field
type of filing. This registration will NOT formally incorporate,
must be completed for the Bureau to return the filing. If the
organize or form an association. See the Department’s
filing is to be returned by email, an email address must be
Registration Forms
page for necessary forms. This form also
provided. An email will be sent to address provided,
will NOT register a d/b/a or fictitious name. Use DSCB:54-
containing a link and instructions on how a copy of the filed
311 (Registration of Fictitious Name).
document or correspondence may be downloaded. Any email
or mailing addresses provided on this form will become part
Available names will be registered though December 31 of the
of the filed document and therefore public record.
year in which the registration is filed. Registrations may be
renewed annually between October 1 and December 31 for the
Indicate whether the application is an initial registration or
following calendar year. Initial registrations filed between
whether the application is being renewed. Renewals must be
October 1 and December 31 will expire on December 31 of
submitted for filing between October 1 and December 31 for
the following calendar year.
the following calendar year.
Applicable Law
1. Give the exact name of the association. This should include
For registration of name of unincorporated association, 54
the exact spelling and punctuation. This field is required.
Pa.C.S. § 502; for names, in general, 15 Pa.C.S. §§ 201-209.
2. The street and mailing address of the association’s
Statutes are available on the Pennsylvania General Assembly
principal office. This address should be located in this
website, , by following the link for
Commonwealth. Post office boxes are not acceptable for any
Statutes.
address. Under 15 Pa.C.S. § 135(c) (relating to addresses), an
actual street or rural route box number must be used as an
Association Name Requirements
address, and the Department of State is required to refuse to
Generally, the name of an association may not be the same as
receive or file any document that sets forth only a post office
the name of another association which is already on the
box address. This field is required.
records of the Department of State. A name registered using
this form may NOT use certain designators indicating it is
3. The length of time which the registrant has used the name.
incorporated or has limited liability (e.g. Inc., LLC, Limited,
An exact date is preferred but not required.
etc.)
Signature and Verification
Restricted word and/or approvals:
An authorized representative of the domestic association must
Association names may not contain words, phrases or
sign this form. Signing a document delivered to the
abbreviations prohibited or restricted by statute or regulation,
Department for filing is an affirmation under the penalties
unless in compliance with the restriction, generally with the
provided in 18 Pa.C.S. § 4904 (relating to unsworn
consent or approval of a government agency, board or
falsification to authorities) that the facts stated in the
commission. These may include
certain professional and
document are true in all material respects. This field is
occupational boards or commissions of the Bureau of
required.
Professional and Occupational Affairs, the Department of
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