For Office Use Only Wyoming Secretary of State 2020 Carey Avenue, Suite 700 Cheyenne, WY 82002-0020 Ph. 307.777.7311 Fax 307.777.5339 Email: Business@wyo.gov LLC-NameReservation - Revised October 2015 Limited Liability Company Application for Reservation of Name Pursuant to W.S. 17-29-109 a person may reserve a name for a limited liability company for a one hundred twenty (120)day period. 1.Proposed name to be reserved: The name must include the words 223Limited Liability Company,224 or its abbreviations 223LLC,224 223L.L.C.,224 223Limited Company,224 223LC,224 223L.C.,224 223Ltd. Liability Company,224 223Ltd. Liability Co.,224 or 223Limited Liability Co.224 2.Name of applicant: 3.Address of applicant: Signature: Date: (Shall be executed by an authorized individual.) (mm/dd/yyyy) Print Name: Title: Phone Number: Email: (Email provided will receive filing evidence) *May list multiple email addresses Checklist Filing Fee: $50.00 Make check or money order payable to Wyoming Secretary of State. Please submit one originally signed document. If you are submitting Articles of Organization at this time a name reservation is not required . Typical processing time is 3-5 business days following the date of receipt in our office. Please review form prior to submitting to the Secretary of State to ensure all areas have been completed to avoid a delay in the processing of your documents. American LegalNet, Inc. www.FormsWorkFlow.com