Statement Of Trade Name Of A Non Reporting Entity

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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 Trade Name of a Non-Reporting Entity
filed pursuant to §7-71-103 and §7-71-107 of the Colorado Revised Statutes (C.R.S)
1. The person delivering this statement is an entity other than a reporting entity (“non-reporting entity”).
2.
.)
(Adopt the appropriate statement by marking the box and complete the field
(Caution: Mark only one box.)
Such non-reporting entity is a general partnership.
The true name of at least one general partner of such general partnership is
(if an individual)
____________________ ______________ ______________ _____
(Last)
(First)
(Middle)
(Suffix)
OR
(if an entity)
______________________________________________________
.
(Caution: Do not provide both an individual and an entity name.)
OR
The non-reporting entity is not a general partnership and the true name of such non-reporting entity is
______________________________________________________.
3. For such non-reporting entity delivering this statement, its form of entity and the jurisdiction under the law
of which it is formed are
Form of entity
______________________________________________________
Jurisdiction
______________________________________________________.
4. The principal address of such non-reporting entity is
Street address
______________________________________________________
(Street number and name)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(Postal/Zip Code)
_______________________ ______________
(Province – if applicable)
(Country – if not US)
Mailing address
______________________________________________________
(leave blank if same as street address)
(Street number and name or Post Office Box information)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(Postal/Zip Code)
_______________________ ______________.
(Province – if applicable)
(Country – if not US)
TRDNM_NRE
Page 1 of 2
Rev. 1/01/2008

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