Form Nr-1 - Application For Name Reservation - West Virginia Secretary Of State Page 2

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Natalie E. Tennant
Penney Barker, Manager
Corporations Division
Secretary of State
Tel: (304) 558-8000
State Capitol
Fax: (304) 558-8381
1900 Kanawha Blvd. East
Charleston, WV 25305
APPLICATION FOR
Hrs: 8:30 am - 5:00 pm ET
FILE ONE ORIGINAL
NAME RESERVATION
FEE: $15.00
I want to reserve the following name for a
1.
period of one hundred twenty (120) days:
(see instructions for name requirements)
2.
The name will be used for a:
(check one)
Corporation
Business Trust
Voluntary Association
Limited Partnership
Limited Liability Company
Limited Liability Partnership
3.
Organize as a West Virginia company
The person or company reserving this
Qualify as a foreign company in WV -- the
name intends to:
(check one)
original state of registration is __________
Change the present company name
The name and address of
4.
Name:
the applicant (person or
company) is:
Street:
City/State/Zip:
5.
Signature:
Title:
A C K N O W L E D G E M E N T
TO THE APPLICANT:
The name is reserved for the exclusive use of the applicant for 120 days
beginning
and ending
The name is NOT available (see attached conflict), and the application is
accordingly denied.
NATALIE E. TENNANT
BY:
Secretary of State
PRINT THIS COPY, THEN CLICK HERE TO RESET.
FORM NR-1
Issued by the Secretary of State, State Capitol, Charleston, WV 25305
Revised 1/09

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