District of Columbia Government Corporations Division Application for Name Reservation Form NR-1, Version 2, July 2010. Use this form to reserve a name for your entity. You do not need to reserve the name, if you are ready to file Articles of Incorporation for your domestic corporation or a Certificate of Authority/Registration for your foreign corporation. Entity Type Filing Fee For-Profit Corporation Limited Liability Company Refer to Corporate Fee Schedule posted online; Limited Partnership Non-Profit Corporation Under the provisions of District of Columbia Laws, I hereby apply for a reservation of a name for the following organization for a 60-day period. I understand that anyone who makes a false statement anywhere on this form can be punished by criminal penalties of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC § 22-2405. 1. Proposed Entity Name (Include any qualifiers such as Inc, LLC, LLP, or LP. Non-profit corporations do not have to use qualifiers. ) 2. Your Mailing Address 3. Initial Reservation 4. Your Name 60-day Reservation Extension 5. Your Signature: Mail all forms and required payment to: Department of Consumer and Regulatory Affairs Corporations Division PO Box 92300 Washington, DC 20090 Phone: (202) 442-4400 Please check dcra.dc.gov to view organizations required to register, to search business names, to get step-by-step guidelines to register an organization, to search registered organizations, and to download forms and documents. Just click on "Corporate Registrations." American LegalNet, Inc. www.FormsWorkFlow.com