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STATE OF SOUTH CAROLINA
SECRETARY OF STATE
ADOPTION OF A FICTITIOUS NAME
Limited Liability Company - Foreign
Filing Fee - $2.00
TYPE OR PRINT CLEARLY IN BLACK INK
Pursuant to S.C. Code of Laws §33-44-1005, the undersigned submits the following:
1. Applicant’s Name (individual submitting form) _________________________________________________
2. The legal name of the limited liability company is _______________________________________________
3. Enter the date that the member(s) or manager(s) adopted the resolution to use the fictitious name
_______________________________________________________________________________________
4. Enter the fictitious name that the member(s) or manager(s) adopted to use for conducting business in the state
of South Carolina ________________________________________________________________________
5. By signing and submitting this form you are affirming that the member(s) or manager(s) of the limited
liability company duly adopted the resolution to use a fictitious name in South Carolina for conducting all
business.
Date ______________________
____________________________________________
Signature of Applicant
____________________________________________
Print Name of Applicant
____________________________________________
Capacity/Position of Applicant
Filing Checklist
Fictitious Name form (filed in duplicate)
$2.00 made payable to the South Carolina Secretary of State
Self-Addressed, Stamped Return Envelope
Return all documents to:
South Carolina Secretary of State’s Office
Attn: Corporate Filings
1205 Pendleton Street, Suite 525
Columbia, SC 29201
LLC - Foreign – Adoption of a Fictitious Name
Form Revised by South Carolina
Secretary of State, May 2011