Statement Of Change Of Trade Name Information Changing The Description Of Business Transacted Or Activities Conducted

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Form must be filed electronically.
Paper forms are not accepted.
This copy is a sample and cannot be submitted for filing.
Statement of Change of Trade Name Information
Changing the Description of Business Transacted or Activities Conducted
filed pursuant to § 7-90-305.5 of the Colorado Revised Statutes (C.R.S.)
1. The entity ID number, if applicable, the trade name ID number, the name of the person transacting
business or conducting activities under the trade name, and such trade name as stated in the statement of
trade name are
Entity ID number
__________________________
(if applicable)
(Colorado Secretary of State ID number)
Trade name ID number
__________________________
(Colorado Secretary of State ID number)
Name
______________________________________________________
Trade name
______________________________________________________.
2. The document number of the filed document that is changed is ____________________________________.
3. The brief description of the kind of business transacted or activities conducted or contemplated
to be transacted or conducted in this state under such trade name has changed.
4. Such description, as changed, is
______________________________________________________________________________________.
5.
(If applicable, adopt the following statement by marking the box and include an attachment.)
This document contains additional information as provided by law.
6.
(Caution: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has significant
legal consequences. Read instructions before entering a date.)
(If the following statement applies, adopt the statement by entering a date and, if applicable, time using the required format.)
The delayed effective date and, if applicable, time of this document are ___________________________.
(mm/dd/yyyy hour:minute am/pm)
Notice:
Causing this document to be delivered to the Secretary of State for filing shall constitute the affirmation or
acknowledgment of each individual causing such delivery, under penalties of perjury, that such document is
such individual's act and deed, or that such individual in good faith believes such document is the act and deed
of the person on whose behalf such individual is causing such document to be delivered for filing, taken in
conformity with the requirements of part 3 of article 90 of title 7, C.R.S. and, if applicable, the constituent
documents and the organic statutes, and that such individual in good faith believes the facts stated in such
document are true and such document complies with the requirements of that Part, the constituent documents,
and the organic statutes.
This perjury notice applies to each individual who causes this document to be delivered to the Secretary of
State, whether or not such individual is identified in this document as one who has caused it to be delivered.
CHANGE_TDNM_ACT
Page 1 of 2
Rev. 1/01/2008

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