$25.00 Filing Fee payable to Arkansas Secretary of State Application for Reservation of Entity Name Instructions: Mail to Secretary of State222s Business and Commercial Services Division, , Little Rock, Arkansas 72201. A file stamped copy, noting expiration 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 for the duration of the reservation. Jurisdiction (Select One)Domestic Foreign 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. Address CityState, 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 $100.00 and/or imprisonment up to 30 days. Witness the hand and seal of the applicant executed under oath, on this the day of , . For-Profit Corporation ( non-renewable)Nonprofit Corporation LLC 001027021n024030n030007r013027r031n027035025016007031n031r$'#$t 003n026020031025022037004020031031022r006025013021 American LegalNet, Inc. www.FormsWorkFlow.com