Alaska LLC Business Name Registration Form

For a business name to become officially registered with the Alaska Secretary of the State, an LLC representative needs to send a completed copy of this form plus the $50.00 filing fee to the Division of Corporations, Business, and Professional Licensing.

Extracted Text for Proper Search

08-557 (Rev. 02/01/2012)    Page 1 of 2    	 	
 	State of Alaska 
Division of Corporations, Business and Professional Licensing 
CORPORATIONS SECTION 
PO Box 110806 
Juneau, AK  99811-0806 
Phone: (907) 465-2550 
Fax: (907) 465-2974 
Website: www.commerce.alaska.gov/occ	
 	
DO NOT STAMP ABOVE THIS BOX 
Office Use Only	       CORP	 
 
 
 
 	
 
BUSINESS NAME REGISTRATION APPLICATION 	
AS 10.35.050 	
   	  $25.00 Filing Fee (non-refundable)	 	 	
 
Pursuant to Alaska Statutes 10.35.050, a person conducting a business may register its name if the name is 
distinguishable on the record. A corresponding business license must be obtained first in order to register a 
business name. The business license may be purchased online at www.commerce.alaska.gov/occ	
. Go to Forms 
and Fees in the Corporations Section. The business license fee is $50.00 a year. 
 
ITEM 1: Business Name: (enter the name exactly as on the business license)   Business License # (required):  
  	
 
ITEM 2: Name and address of the owner of the business name: 
Name: 
Physical address: 
Mailing address: 
 
ITEM 3: Name and address of the business: 
Name: 
Physical address: 
Mailing address: 
 
ITEM 4: Additional persons that have an interest in the business: (optional) 
Name: 
Physical address: 
Mailing address: 
Attach an additional sheet if necessary.  
 
ITEM 5: The nature of the business is:

08-557 (Rev. 02/01/2012)    Page 2 of 2    	 	
ITEM 6: The signer must be an owner of the business or an authorized person the entity that is registering the 
name. 
   
Signature of Authorized Person      Printed name of Authorized Person     Date 
 
Mail the Business Name Registration and the non-refundable $25.00 filing fee in U.S. dollars to: 
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK  99811-0806 
 
STANDARD PROCESSING TIME for complete and correct applications submitted to this office is 
approximately 10-15 business days. All applications are reviewed in the date order they are received.  To file 
your application online for immediate processing, visit our website at www.corporations.alaska.gov/occ	
.