Application For Change Of Assumed Corporate Name {SS-4403}

For Office Use Only APPLICATION FOR CHANGE OF ASSUMED CORPORATE NAME Corporate Filings 312 Eighth Avenue North th 6 Floor, William R. Snodgrass Tower Nashville, TN 37243 Pursuant to the provisions of Section 48-14-l01(e) of the Tennessee Business Corporation Act or Section 48-54-101(e) of the Tennessee Nonprofit Corporation Act, the undersigned corporation hereby submits this application: 1. The true name of the corporation is . 2. The state or country of incorporation is . 3. The corporation intends to cease transacting business under an assumed corporate name by changing it. 4. The corporation is for profit. The corporation is nonprofit. [NOTE: Please strike the sentence which does Please strike the sentence which does NOTE: 5. The assumed corporate name to be changed from is . 6. The assumed corporate name which the corporation proposes to use is .[NOTE: The assumed corporate name must meet the requirements of Section 48-14-101 of the Tennessee Business The assumed corporate name must meet the requirements of Section 48-14-101 of the NOTE: Tennessee Business Signature Date Name of Corporation Signers Capacity Signature Name (typed or printed) SS-4403 (Rev. 6/00) RDA 1678