Trade Name Report {0021}

TRAD NA T DE AME RE EPORT SECRETARY STATE TO: OKLAHOMA ECRETARY OFOF STATE O OKLAHOMA SE F 2 2300 N. Lincoln Suite 210 01, 421 N.W. 13th, Blvd., Room 10 State Capitol O Oklahoma City, Oklahoma 73103 O OklahomaCity, Oklahoma 73105-489 (405) 522-2520 (405) 522-2520 Filing Fee: $25.00 0 I hereby execute the following tra name rep in order for a busine entity to d business in Oklahoma f ade port r ess do a unde a name oth than its legal name pursuant to th provision of Title 18 Section 11 er her l p he ns 8, 140: 1 Trade na 1. ame under which the bu w usiness is car rried on in O Oklahoma: T trade nam or d/b/a na must be different than the legal na stated wit The me ame d n ame thin article #4 below. 4 2 Address(es) where business is be 2. b eing carried on under the trade name e e: 3 Brief des 3. scription of the kind of business bei transacte under the trade name: f ing ed : 4 Legal nam of the "b 4. me business ent tity" doing business und the trade name: b der A used in this section: "Bu As usiness entity means a corporation, a business trus a common law trust, a limited liability y" st, y c company, or any unincorpo a orated busines including any form of pa ss, a artnership. A unincorpo An orated busines may include ss a individual doing business under a tra name. In this case, the legal name w an ade n e would be the individual's legal name. 5 Type of "business en 5. " ntity" filing the trade na report: ( g ame (check one o the follow of wing) corporation c limited liabil company l lity y business trust unin ncorporated b business common l trust law partnershi ip 6 State or jurisdiction where the "business en 6. j n " ntity" was fo formed: (REVE ERSE SIDE OF FORM MUST BE SIGNED A E M E AND DATE ED) American LegalNet, Inc. www.FormsWorkFlow.com (SOS FORM 0021-07/12) M ) COMPLETE ONLY THE ACKNOWLEGEMENT SECTION WHICH APPLIES TO THE BUSINESS ENTITY FILING THIS TRADE NAME REPORT. BUSINESS ENTITY ACKNOWLEDGEMENT (Limited Liability Companies, Business Trusts, Unincorporated Businesses, Common Law Trusts, or Partnerships) Signed this day of , by: Signature Printed Name Title Signature Printed Name Title CORPORATION ACKNOWLEDGEMENT Signed this day of , by: Signature of President or Vice President Attested to by: Signature of Secretary or Assistant Secretary Printed Name Printed Name American LegalNet, Inc. www.FormsWorkFlow.com (SOS FORM 0021-07/12)