Kentucky Secretary of State TREY GRAYSON
Division of Corporations BUSINESS FILINGS P.O. Box 718 Frankfort, KY 40602 (502) 564-2848 http://www.sos.ky.gov/
Notice of Transfer of Reserved Name
Pursuant to the provisions of KRS Chapter 271B, 273, 275 or 362, the undersigned hereby transfers a reserved name and for that purpose submits the following statements: 1.________________________________________________________________________ is the name reserved with the Secretary of State by _________________________________________________________________________.
2. The name as reserved is hereby transferred to _________________________________________________________________________
(Type or print transferee's name)
(Type or print transferee's address)
City State Zip Code
3. The date of filing of the original application to reserve the name was ________________.
Print or type name and title, if applicable
Date: _______________________, 20_______
(See attached sheet for instructions)
Notice of Transfer of Reserved Name Filing Instructions
NAME RESERVED AND APPLICANT'S NAME Please state the exact name as reserved with the Secretary of State. The applicant's name is the individual or the business entity that reserved the name for his/her/its exclusive use for a nonrenewable one hundred and twenty day period. WHO MAY SIGN The individual applicant (transferor) must sign the notice of transfer of reserved name. If the applicant is a business entity the person executing the notice on behalf of the business entity must state his or her title or the capacity in which he or she signs. NUMBER OF COPIES Submit one originally signed and one exact or conformed copy. (May be a photocopy) One filestamped copy will be returned to you as evidence of filing. FILING FEE The filing fee is $15.00. Your check should be made payable to the "Kentucky State Treasurer". MAILING ADDRESS Trey Grayson Secretary of State P O Box 718 Frankfort, KY 40602-0718 WEB SITE ADDRESS Our home page address is www.sos.ky.gov Click on "On Line Business Database" for information on status of all business entities in Kentucky. Forms are also available on our web site. For more information, please call (502) 564-2848, press 2, and then press 1 or try our web site. OFFICE LOCATION Room 154, Capitol Building 700 Capital Avenue Frankfort, KY 40601
NOTE: The notice of transfer of reserved name will not renew the reservation. The reserved name, as transferred, will expire one hundred and twenty days from the date the name was reserved with the Secretary of State.