Ilinois Non Profit Corporation Name Reservation Form

In the case of a non-profit corporation in the State of Missouri Ilinois to reserve a name before officially registering that name, the following form has to be completed and submitted. Making sure the desired name is not already reserved is essential.

Extracted Text for Proper Search

Pursuant to the provisions of "The General Not For Profit Corporation Act of 1986," the undersigned
hereby submits the following Application for Reservation of Name.
1. The following name or names shall be reserved for a period of 90 days each:
2. A brief summary of the purpose intended to be conducted by the corporation is:
3. Name applicant
4. Address of applicant
Dated ,
NOTE: If the applicant is an individual, it is to be signed by the applicant.
If the applicant is a corporation, it is to be signed by the corporation's president or vice-president
and verified by him and attested to by the secretary or an assistant secretary.	
(May contain the word "corporation", "incorporated", or "limited", or may contain an abbreviation of one such word)
Signature of Applicant (Month & Day)     (Year)	
Form
NFP 104.10
(Rev. Jan. 2003)
Jesse White
Secretary of State
Department of Business Services
Springfield, IL  62756
Telephone (217) 782-9520
http://www.cyberdriveillinois.com	
Remit payment in check or money
order, payable to "Secretary of State."
Filing fee is $25 for each name
reserved.	
APPLICATION FOR
RESERVATION OF NAME	
Under the General Not For Profit Corporation Act	
SUBMIT ONE ORIGINAL
This space for use by
Secretary of State
Date
Filing Fee $
Approved:

NOTICE OF TRANSFER
OF
RESERVED NAME
The undersigned hereby transfers
tothe right to use the
namefor corporate purposes
in Illinois. This name was reserved on , .
The undersigned affirms, under penalties of perjury, that the facts stated herein are true.
Dated , .
By
Attested by:
* As the original applicant, I declare that this document has been examined by me and is to the best
of my knowledge and belief, true, correct and complete.	
(Signature of Original Applicant)
(Type or Print Name)
If a corporation, by its president or vice president*	
(Name of Original Applicant)
(Name of Transferee)	
Date
Filing Fee $25
Approved	
C-140.10	
(Month & Day)     (Year)(Month & Day)                 (Year)