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NOTICE OF CANCELLATION/TRANSFER OF RESERVATION OF NAME
Corporate Filings 312 Rosa L. Parks Avenue 6th Floor, William R. Snodgrass Tower Nashville, TN 37243
Pursuant to the provisions of Section 48-14-102(b)(c) of the Tennessee Business Corporation Act or Section 48-54-102(b)(c) of the Tennessee Nonprofit Corporation Act, the undersigned hereby submits the following application for cancellation/transfer of reservation of name: 1. The reserved name to be cancelled/transferred is: .
2. The name and address of the applicant or transferee is: Please check applicable box: Cancellation of Reserved Name Transfer of Reserved Name Zip Code Date: ,
Holder of Reserved Name By: (Signature) Name (typed or printed) Signer's Capacity
SS-4406 (Rev. 12/98)
RDA