Free F0018 - Page 1 of 1 OFFICE OF THE MISSISSIPPI SECRETARY OF STATE P.O. BOX 136, ... - Mississippi

F0018 - Page 1 of 1

OFFICE OF THE MISSISSIPPI SECRETARY OF STATE
P.O. BOX 136, JACKSON, MS 39205-0136 (601) 359-1333

*0018-1-1*
1. Type of Corporation (`X' in one only)
Mississippi Profit

Transfer of Reserved Name

Mississippi Nonprofit

Mississippi Limited Partnership

Foreign Limited Partnership

Foreign Profit

Foreign Nonprofit

2. Name reserved

3. Owner of reserved corporate name

4. Transferred to

5. Address Address City, State, ZIP5, ZIP4

(Please keep writing within blocks)

Signature of Owner/ Applicant

Rev. 01/96