Arkansas Non Profit Corporation Reservation of Name Form
An unregistered nonprofit entity that seeks to reserve a preferred corporation name must submit this form to the Secretary of State’ office.Download
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$25.00 Filing Fee payable to Arkansas Secretary of State RN/ Rev. 07/07 Application for Reservation of Entity Name Instructions: Mail to Secretary of State’s Business and Commercial Se rvices Division, State Capitol, Little Rock, Arkansas 72201. A file stamped copy, noting expirati on date will be returned for your files. The owners of a reserved name may transfer the reservation to another person by delivering to the Secretary of State a signed notice of the transfer that states the name and address of the transferee. The transfer shall be effective fo r the duration of the reservation. Jurisdiction (Select One) Domestic Foreign Entity Type (Select One) For-Profit Corporation (§ 402 Act 958 of 1987 non-renewable) Nonprofit Corporation (§ 402 Act1147 of 1993 non-renewable) LLC (§ 104 Act 1003 of 1993 with 1 renewal of 120 days) The undersigned, pursuant to the provisions of the appropriate Act listed above, hereby requests that the following name be reserved for a 120 day period. ________________________________________________________________________________________________________________ Name to be reserved ________________________________________________________________________________________________________________ Address City, State Zip I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days. Witness the hand and seal of the applicant executed under oath, on this the ____________ day of ________________, ______________. ______________________________________________________ _______________________________________________ Typed or Printed Name of Applicant Signature of Applicant A rk an sa s Se cre ta ry of Sta te M a rk M a rtin Busine ss&Commer cialService s,25 0\bictory Buil\fing,1401 W.Capitol ,Little Rock StateCapitol •Little Rock, Arkans as72201 1094 501 682 34 09•ww w.sos.arkansas.gov
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