APPLICATION FOR RESERVATION OF NAME
Under §205 of the Limited Liability Company Law
PLEASE TYPE OR PRINT
APPLICANT’S NAME AND ADDRESS
RESERVATION IS INTENDED FOR (CHECK ONE)
New domestic limited liability company (The Limited Liability Company Law requires that the name end with “Limited Liability
Company”, “LLC” or “L.L.C.”)
New domestic professional service limited liability company (The name must end with “Professional Limited Liability
Company” or “Limited Liability Company” or an abbreviation in §1212(b) of the Limited Liability Company Law.)
Existing foreign limited liability company intending to apply for authority to do business in New York State
Existing foreign professional service limited liability company intending to apply for authority to do business in New York
State
Change of name of an existing domestic or an authorized foreign limited liability company
A person intending to form a foreign limited liability company which will apply for authority to do business in this state
Existing foreign limited liability company intending to change its fictitious name under which it does business in this state
Authorized foreign limited liability company intending to change its fictitious name under which it does business in this
state
Authorized foreign limited liability company which has changed its name in its jurisdiction, such new name not being
available for use in New York State
X
Signature of applicant, applicant’s attorney or agent Typed/printed name of signer
(If attorney or agent, so specify)
INSTRUCTIONS
:
1. Upon filing this application, the name will be reserved for 60 days and a certificate of reservation will be issued.
2. The certificate of reservation, which will be in the form of a receipt, must be returned with and attached to the articles of
organization, application for authority, certificate of amendment or with a cancellation of the reservation.
3. The name used must be the same as appears in the reservation.
4. A $20 fee payable to the Department of State must accompany this application.
DOS-1233-f-a (Rev. 04/16)
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