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STATE OF SOUTH CAROLINA SECRETARY OF STATE ADOPTION OF A FICTITIOUS NAME Limited Liability Company - Foreign Filing Fee - $2.00

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Pursuant to S.C. Code of Laws §33-44-1005, the undersigned submits the following: 1. Applicant's Name (individual submitting form) _________________________________________________ 2. The legal name of the limited liability company is _______________________________________________ 3. Enter the date that the member(s) or manager(s) adopted the resolution to use the fictitious name _______________________________________________________________________________________ 4. Enter the fictitious name that the member(s) or manager(s) adopted to use for conducting business in the state of South Carolina ________________________________________________________________________ 5. By signing and submitting this form you are affirming that the member(s) or manager(s) of the limited liability company duly adopted the resolution to use a fictitious name in South Carolina for conducting all business. Date ______________________ ____________________________________________ Signature of Applicant

____________________________________________ Print Name of Applicant

____________________________________________ Capacity/Position of Applicant

Filing Checklist Fictitious Name form (filed in duplicate) $2.00 made payable to the South Carolina Secretary of State Self-Addressed, Stamped Return Envelope Return all documents to: South Carolina Secretary of State's Office Attn: Corporate Filings P.O. Box 11350 Columbia, SC 29211

LLC - Foreign ­ Adoption of a Fictitious Name

Form Revised by South Carolina Secretary of State, June 2007