Application For Reservation Of Name {DOS-1233-f-a}

Under 247205 of the Limited Liability Company Law PLEASE TYPE OR PRINT NAME TO BE RESERVED RESERVATION IS INTENDED FOR (CHECK ONE) New domestic limited liability company (The L imited L iability C ompany L ) New domestic professional service limited liability company Limited Liability Company , ) F oreign limited liability company intending to apply for authority to do business in New York State * F oreign professional service limited liability company intending to apply for authority to do business in New York State * Fictitious name of a foreign limited liability company intending to apply for authority to do business in New York State whos e real name is not available for use in New York State Change of name of an existing domestic or an authorized foreign limited liability company * A person intending to form a foreign limited liability company which will apply for authority to do business in this state Fictitious name for an a uthorized foreign limited liability company intending to change its fictitious name under which it does business in this state * Fictitious name for an a uthorized foreign limited liability company which has changed its name in its jurisdiction, such new name not being a vailable for use in New York State * X Typed/printed name of signer (If attorney or agent, so specify) NOTES: 1. Upon filing this application, the name will be reserved for 60 days and a certificate of reservation will be issued. 2. The certificate of reservation, which will be in the form of a receipt, must be returned with and attached to the articles of organization, application for authority, certificate of amendment or with a cancellation of the reservation. 3. The name used must be the same as appears in the reservation. 4. A $20 fee payable to the Department of State must accompany this application. * If the reservation is for an existing limited liability company, domestic or foreign, the limited liability company must be the applicant. DOS-1233-f-a (Rev. 07/16) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com