Form 3401 - Telephone Solicitation Registration Statement
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3401
Form
(Revised 03/15)
Submit to:
Secretary of State
Registrations Unit
Telephone Solicitation
P.O. Box 13550
Registration Statement
Austin, TX 78711-3550
512 475-0775
FAX: 512 475-2815
Filing Fee: $200.00
PLEASE CHECK:
_____
NEW
_____
RENEWAL
Please print or type. Use additional sheets of paper if necessary. Answer all questions. Please
indicate if question is not applicable.
1.) Seller's Name:
____________________________________________________________________________________
2.) Name under which seller intends doing business if different from above:
____________________________________________________________________________________
3.) The seller's business form (i.e. individual, sole proprietorship, firm, association, corporation,
partnership, joint venture, or other business entity) and place of organization is:
____________________________________________________________________________________
4.) If the seller is a corporation, attach a copy of it's articles of incorporation and bylaws; if a partnership, a
copy of the partnership agreement. If a limited liability company, its articles of organization and
regulations.
5.) If seller is operating under an assumed business name, the location where the assumed name has been
registered is:
_____________________________________________________________________________________
6.) Attach a list of the name of each parent and affiliated organization of seller that will engage in business
transactions with purchasers relating to sales solicited by the seller or accepts responsibility for statements
made by, or acts of, the seller relating to sales solicited by the seller.
7.) For each organization listed in #6 above, give the type of business form and place of organization and
provide:
A. A copy of the articles of incorporation and bylaws, if a corporation;
B. A copy of the partnership agreement, if a partnership;
C. A copy of the articles of organization and regulations, if a limited liability company; and
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