Mail all forms and required payment to: Department of Consumer and Regulatory Affairs Corporations Division PO Box 92300 Washington, DC 20090 Phone: (202) 442 - 44 32 Corporate Online Services Information: Many corpor ate filings are available by using CorpOnline Service. Go to CorpOnline site at https://corp online .dcra.dc.gov , create the profile, access the online services main page and proceed. Online filers must pay by using the credit card. District of Columbia Government Corporations Division TN - 4 Trade Name Amendment Form Ver. 5 , April 201 8 . Use this form to amend the following information on your trade name: ownership (new owner must be registered and in good s tan ding) or address change or registered agent change (sole - proprietors and other non - filing entities only) or trade name change . ENTITY TYPE FILING F E E All entities; Trade Name Amendment Refer to Corporate Fee Schedule posted online; Under the provisions of the Title 29 of D.C. Code (Business Organizations Act) and Title 47 Chapter 28, the entity identified below hereby applies for a Certificate of Trade Name Amendment and for that purpose submits the following statement: 1. 1. Name of Individual or Entity, using the trade name: 2.Existing Trade Name: (give trade name file# or owning entity file# ) 3.Date of original registration: 4 .Trade Name File # or Owning Entity File#: 5 .The following amendment s are made to the initial application for registration: 6 .Name of the Governor or Authorized Person. 6 A. Signature of the Governor or Authorized Person. If you sign this application, you agree that you understand that anyone who makes a false statement anywhere on it can be punished by criminal penalties of a fine up to $1000, imprisonment up to 180 days, or both, unde r DCOC 247 22 - 2405. American LegalNet, Inc. www.FormsWorkFlow.com