APPLICATION FOR RESERVATION of LIMITED LIABILITY COMPANY NAME
Submit in Duplicate
John A. Gale, Secretary of State Room 1301State Capitol, P.O. Box 94608 Lincoln, NE 68509 (402) 471-4079
http://www.sos.state.ne.us
The undersigned hereby requests the following name be reserved: Name to be Reserved_________________________________________________ ____________________________________________________________________
Reservation is good for 120 days
DATED _______________________
___________________________________
Signature
___________________________________
Printed Name
__________________________________________
Street Address
__________________________________________
City, State, Zip
FILING FEE: $15.00
Revised 12/19/2000
Neb. Rev. Stat. 21-2604.01