RESERVE NAME NOTICE OF TRANSFER SECRETARY OF STATE SFN 13403 (10-2016) For Office Use Only ID Number: WO Number: Filed: Expiration Date: By: NOTE: The filing of the Reserve Name Notice of Transfer does not establish a North Dakota entity nor does it grant authority to a foreign (out-of-state) entity to transact business in the state of North Dakota. It merely transfers ownership of the reserved name until the entity is able to complete and file the required documents. REMAINING PERIOD OF TWELVE-MONTH DURATION (Renewable for successive twelve-month periods.) 1. FILING FEE: $10.00 Organized under North Dakota laws Cooperative association Corporation: General business Farm Nonprofit Professional Limited liability company: General business Farm Nonprofit Professional Limited liability partnership:* General business Professional Limited partnership* Limited liability limited partnership* SEE INSTRUCTIONS FOR FEES, FILING, AND MAILING INFORMATION. Organized under laws other than North Dakota laws Organized under North Dakota Farming Act (N.D.C.C. Ch. 10-06.1) 2. The undersigned hereby transfers ownership of a reserved name for the remaining reservation for the purpose of filing one of the following: (check one) * A limited liability partnership, a limited partnership, or a limited liability limited partnership may engage in farming or ranching only if the partners are all individuals or organizations created under North Dakota's Corporate or Limited Liability Company Farming Act, N.D.C.C. Chapter 10-06.1. 3. Business name that is reserved and being transferred 4. Name of transferor (current owner) of record with the Secretary of State 6. Name to whom reserved name is being transferred 8. Address of new owner to whom reserved name is being transferred (street/RR, PO box, city, state, ZIP+4) 5. Telephone number of current owner 7. Telephone number of new owner 9. "As owner of this reserved name, I: · Authorize the Secretary of State to correct number 3 if the name is not correctly reflected; · Hereby transfer all rights and ownership to the new owner named in number 6 for the remaining duration of the reservation; and · Understand that if I make a false statement in this document, I may be subject to criminal penalties." Signature of transferor in number 4 10. Name of person to contact about this document Email address Date Daytime telephone number American LegalNet, Inc. www.FormsWorkFlow.com SFN 13403 (10-2016) Page 2 of 2 INSTRUCTIONS FOR RESERVE NAME NOTICE OF TRANSFER The ownership of a name that has been reserved with the Secretary of State may be transferred. The transferred ownership is for the period remaining of the twelve-month registration period. At the end of the twelve-month period, the reservation can be renewed. INSTRUCTIONS: The following numbered instructions correspond to the numbers on the Reserve Name Notice of Transfer. 1. The filing fee is $10. Checks must be made payable to the Secretary of State (must be negotiable United States funds). The Secretary of State accepts credit card payments using Visa, MasterCard, Discover, or American Express. 2. Check the organizational type for which the reserved name is intended. The organizational type must be the same on the transfer as when initially reserved. 3. Provide the name to be transferred, which must be identical to the style and format as initially reserved, including all of the required words, abbreviations, spaces, and punctuation. The Secretary of State will correct the name in number 3 if not reflected as registered. 4. Provide the complete name of the current owner of record with the Secretary of State. 5. Provide the telephone number of the current owner of record with the Secretary of State. 6. Provide the complete name of the individual or organization to which the reserved name is being transferred. 7. Provide the telephone number of the individual or organization to which the reserved name is being transferred. 8. Provide a complete address of the new owner of the reserved name. The address must include a street or rural address, a post office box number if applicable, the city and state, and ZIP code with 4 digit extension. 9. The application must be dated and signed by the transferor (owner of record with the Secretary of State). 10. Provide the name, email address, and daytime telephone number of a contact person if this office has any questions or needs additional information to file the Reserve Name Notice of Transfer. The email address is not disclosed to the public; this information is privatized in accordance with N.D.C.C. Section 44-04-18.21. ASSISTANCE: If assistance is required to complete the form, call (701) 328-2904. FAX FILING: The document and Credit Card Payment Authorization may be faxed to (701) 328-2992. A faxed filing does not expedite the process of the document in the Secretary of State's office. EMAIL: Email is not a secure utility for the transmission of private information or credit card authorizations. DO NOT EMAIL YOUR DOCUMENT TO THE SECRETARY OF STATE. MAILING INSTRUCTIONS: Send documents and filing fees to: Secretary of State State of North Dakota 600 E Boulevard Ave Dept 108 Bismarck ND 58505-0500 Telephone: (701) 328-2904 Toll-free: (800) 352-0867 (option 3) Fax: (701) 328-2992 Website: sos.nd.gov CREDIT CARD PAYMENT AUTHORIZATION SECRETARY OF STATE SFN 51478 (02-2016) WO Number (For Office Use Only): Amount . Telephone Number City State ZIP Code Signature (required by credit card companies) Name Address Card Type Visa Account Number MasterCard Discover American Express CSC Number* Card Expires (MMYY) Date *Three-digit (Visa, MasterCard, or Discover) or four-digit (American Express) security code American LegalNet, Inc. www.FormsWorkFlow.com