STATE OF SOUTH CAROLINA SECRETARY OF STATE NOTICE OF TRANSFER OF A RESERVED LIMITED LIABILITY COMPANY NAME
TYPE OR PRINT CLEARLY IN BLACK INK
Pursuant to Section 33-44-106(b) of 1976 South Carolina Code of Laws, as amended, notice is hereby given that the undersigned has transferred to ____________________________________________________________________________________ whose address is _____________________________________________________________________
Street Address
____________________________________________________________________________________
City State Zip Code
the following reserved Limited Liability Company name ____________________________________________________________________________________ which name was reserved in the Office of the Secretary of State for the exclusive use of the undersigned on _________________________________________________________________________________
Date of filing
for a period of one hundred twenty days after such filing date.
Date ______________________
______________________________________
Name of Original Applicant
______________________________________
Signature
______________________________________
Type or Print Name
FILING INSTRUCTIONS 1. 2. File two copies of this application, the original and either a duplicate original or a conformed copy. If space on this form is insufficient, please attach additional sheets containing a reference to the appropriate paragraph in this form, or prepare this using a computer disk, which will allow additional space to be included in the form. This application must be accompanied by the filing fee of $10.00, payable to the Secretary of State. Return to: Secretary of State PO Box 11350 Columbia SC 29211
3.
Form Revised by South Carolina Secretary of State, January 2000