FILING FEE: $25.00
PRINT CLEARLY
AMENDED TRADE NAME REPORT
TO: OKLAHOMA SECRETARY OF STATE 2300 N. Lincoln Blvd., Room 101, State Capitol Building Oklahoma City, Oklahoma 73105-4897 (405) 521-3912
The undersigned business entity, hereby submits the following amended trade name report pursuant to Title 18, Oklahoma Statutes, Section 1140.3:
1.
The trade name under which the business is carried on in Oklahoma is:
2.
Business is carried on under such trade name at the following address(es):
3.
A brief description of the kind of business being transacted under such trade name:
4.
The legal name of the "corporation or business entity" doing business under the trade name is:
5.
The type of "business entity" filing the amended trade name report is (check one of the following): " corporation " limited liability company " business trust " unincorporated business " common law trust " partnership
6.
The business entity was formed in the state of:
(CONTINUED ON REVERSE SIDE OF FORM)
7.
Set forth clearly any and all amendments to the trade name report:
COMPLETE ONLY THE ACKNOWLEGEMENT WHICH APPLIES TO THE BUSINESS ENTITY FILING THIS AMENDED TRADE NAME REPORT.
BUSINESS ENTITY ACKNOWLEDGEMENT
I/we, being duly authorized to sign on behalf of the above named business entity, do hereby execute this report on the day of , .
Signature
Type or Print Name
Title
CORPORATION ACKNOWLEDGMENT
I/we, being duly authorized to sign on behalf of the above named corporation, do hereby execute this report on the day of , .
by its ATTEST:
President
by its
Secretary
(SOS FORM 0039-12/01)