Form Dscb:15-209 - Application For Registration Of Name Of Nonregistered Foreign Association Page 2
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3DSCB:15-209–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.
opinions and Bureau regulations.
Checks should be made payable to the Department of State.
Attachments
Checks must contain a commercially pre-printed name and
The following, in addition to the filing fee, shall accompany
address.
this form:
(1) Any necessary copies of form DSCB:19-17.2
This form and all accompanying documents, including any
(Consent to Appropriation of Name). If Consent cannot be
necessary governmental approvals, shall be mailed to the
obtained, the association may adopt, for the purpose of
address stated above.
doing business in this Commonwealth, an alternate name as
indicated in Instruction 2A.
Who should file this form?
(2) Any necessary governmental approvals.
Any nonregistered foreign association seeking to register an
association name for a period of up to one year may file this
Form Instructions
form. Available names will be registered though December 31
of the year in which the registration is filed. Registrations
Enter the name and mailing address to which any
may be renewed annually between October 1 and December
correspondence regarding this filing should be sent. This field
31 for the following calendar year. Initial registrations filed
must be completed for the Bureau to return the filing. If the
between October 1 and December 31 will expire on December
filing is to be returned by email, an email address must be
31 of the following calendar year.
provided. An email will be sent to address provided,
containing a link and instructions on how a copy of the filed
A foreign association whose name registration is effective
document or correspondence may be downloaded. Any email
may register as a foreign association under the registered name
or mailing addresses provided on this form will become part
or consent to the use of that name by another association.
of the filed document and therefore public record.
Applicable Law
Indicate whether the application is an initial registration or
For registration of name of nonqualified foreign association,
whether the application is being renewed. Renewals must be
15 Pa.C.S. § 209; for names, in general, 15 Pa.C.S. § 414 and
submitted for filing between October 1 and December 31 for
§§ 201-209. Statutes are available on the Pennsylvania
the following calendar year.
General Assembly website, , by
following the link for Statutes.
1. Select the type of association. Only one option may be
selected. This field is required.
Association Name Requirements
Generally, the name of an association may not be the same as
2. Give the exact name of the nonregistered foreign
the name of another association which is already on the
association in its jurisdiction of formation. This should include
records of the Department of State. Depending on the type of
the exact spelling, punctuation and any identifier such as
association, certain designators must be used in the association
“Inc.,” “LLC” or “Limited.” Jurisdiction of Formation means
name. The minimum requirements for association names can
the state or country of incorporation or domestic registration.
be found at 15 Pa.C.S. §§ 201-209. Provisions relating to
For the purposes of this form, the jurisdiction of formation
foreign association names are at 15 Pa.C.S. § 206 and § 414.
may not be Pennsylvania. This field is required.
2A. Alternate name:
Restricted word and/or approvals:
Association names may not contain words, phrases or
A foreign association must register under its proper name
abbreviations prohibited or restricted by statute or regulation,
under the laws of its jurisdiction of formation if that name
unless in compliance with the restriction, generally with the
satisfies the requirements of 15 Pa.C.S. §§ 201-209. If the
consent or approval of a government agency, board or
proper name of the nonregistered foreign association is
commission. These may include
certain professional and
unavailable because it is not distinguishable on the records of
occupational boards or commissions of the Bureau of
the Department of State from a name already in use, reserved
Professional and Occupational Affairs, the Department of
or registered or if the name does not comply with 15 Pa.C.S.
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