COMMONWEALTH OF KENTUCKY TREY GRAYSON, SECRETARY OF STATE ____________________________________________________________________________________________________________________________ Division of Corporations Business Filings PO Box 718 Frankfort, KY 40602 (502) 564-3490 www.sos.ky.gov Registration or Renewal of Corporate Name FRG (Foreign Business Entity) ____________________________________________________________________________________________ Pursuant to the provisions of KRS Chapter 271B, 273 and 274, the undersigned hereby applies for registration or renewal of corporate name on behalf of the corporation named below and, for that purpose, submits the following statements: 1. The activity request is: Registration Renewal 2. The name of the corporation is________________________________________________________________________. 3. The mailing address of the corporation is: ___________________________________________________________________________________________________ Street Address or Post Office Box Numbers City State Zip Code 4. The state or country of incorporation is _________________________________________________________________. 5. The date of incorporation is __________________________________________________________________________. 6. The nature of the business of the corporation is ___________________________________________________________ (Please print brief description) ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ 7. A certificate of existence duly authenticated by the Secretary of State accompanies this application. I declare under penalty of perjury under the laws of the state of Kentucky that the foregoing is true and correct. ____________________________________________________________________________________________________ Signature of Officer or Chairman of the Board (09/09) Printed Name & Title Date American LegalNet, Inc. www.FormsWorkFlow.com FILING INSTRUCTIONS REGISTRATION OR RENEWAL OF CORPORATE NAME REGISTRATION OR RENEWAL If the corporation is applying for registration of corporate name, check appropriate block. If the corporation is applying for renewal registration of corporate name, check appropriate block. A foreign corporation whose registration is effective may renew it for successive years by delivering to the Secretary of State for filing a renewal application between October 1 and December 31 of the preceding year. The renewal application filed shall renew the registration for the following calendar year. NAME Use the exact name of the corporation as filed in its’ state of incorporation. The corporate name must contain the word “corporation,” “incorporated,” “company,” “limited,” “professional service corporation” or an abbreviation thereof. DATE OF INCORPORATION The date of incorporation is the date articles of incorporation were filed with the secretary of state or other official having custody of the corporate records. NATURE OF BUSINESS The corporation must give a brief description of the nature of the business in which it is engaged. CERTIFICATE OF EXISTENCE A certificate of existence or document of similar import (for example, certificate of “good standing”) must accompany this application. Please contact the secretary of state’s office of the domiciled state for a certificate of existence. WHO MAY SIGN The document must be signed by an officer or chairman of the board. NUMBER OF COPIES When filing online with the FastTrack system, no copies are required. If filing via mail or in person, one exact copy of the documents with the filing fee must be submitted to the address below. To make a copy of the filing for delivery to the local county clerk’s office, visit www.sos.ky.gov and print a copy from the organization search tool. DOCUMENT DELIVERY All documents will be sent to the return address on the outer envelope. If no address is found, the documents will be sent to the principal office. If the applicant wishes for correspondence from the Office of the Secretary of State to be sent to someone other than those above, a request must be submitted in writing affirming that request. All other communication and notification shall follow the process prescribed in Kentucky Revised Statute. FILING FEE The filing fee for a profit corporation or a professional service corporation is $36.00. Checks should be made payable to the "Kentucky State Treasurer." MAILING ADDRESS Trey Grayson Secretary of State P.O. Box 718 Frankfort, KY 40602-0718 OFFICE LOCATION Room 154, Capitol Building 700 Capital Avenue Frankfort, KY 40601 Hours of Operation: 8:00 AM-4:30 PM ET CONTACT INFORMATION AND NAME AVAILABILITY If you have any questions, need additional forms or wish to search for name availability, please feel free to visit our website at www.sos.ky.gov or call (502) 564-3490. (09/09) American LegalNet, Inc. www.FormsWorkFlow.com