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MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS CORPORATIONS, (Kallas Restaurant Accounting)

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CSCL/CD-541 (Rev. 10/17)
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
CORPORATIONS, SECURITIES & COMMERCIAL LICENSING BUREAU
Date Received
(FOR BUREAU USE ONLY)
This document is effective on the date filed, unless a
subsequent effective date within 90 days after received
date is stated in the document.
EXPIRATION DATE:
DECEMBER 31,
Name
Address
City State ZIP Code
Document will be returned to the name and address you enter above.
If left blank, document will be returned to the registered office.
CERTIFICATE OF ASSUMED NAME
For use by Corporations, Limited Partnerships and Limited Liability Companies
(Please read information and instructions on the last page)
Pursuant to the provisions of Act 284, Public Acts of 1972 (profit corporations), or Act 162, Public Acts of 1982 (nonprofit corporations), Act
213, Public Acts of 1982 (limited partnerships), or Act 23, Public Acts of 1993 (limited liability companies), the undersigned execute the
following Certificate:
1. The name of the corporation, limited partnership, or limited liability company is:
2. The identification number assigned by the Bureau is:
3. The assumed name under which business is to be transacted is:
4. This document is hereby signed as required by the Act.
Signed this day of ,
By
(Signature)
(Limited Partnerships Only - Indicate Name of General Partner, if the General Partner is a corporation or other entity)
(Type or Print Name) (Type or Print Title or Capacity)
COMPLETE ITEM 5 ON PAGE 3 IF THIS NAME IS ASSUMED BY MORE THAN ONE ENTITY.
AC1
CSCL/CD-541 (Rev. 10/17)
Preparer's Name
Business Telephone Number
(
)
Submit with check or money order by mail:
Michigan Department of Licensing and Regulatory Affairs
Corporations, Securities & Commercial Licensing Bureau
Corporations Division
P.O. Box 30054
Lansing, MI 48909
To submit in person:
2501 Woodlake Circle
Okemos, MI
Telephone: (517) 241-6470
Fees may be paid by check, money order, VISA, MasterCard,
or Discover when delivered in person to our office.
COFS (Corporations Online Filing System):
This
document may be completed and submitted online at www.michigan.gov/corpfileonline.
Fees may be paid by VISA, MasterCard, or Discover.
INFORMATION AND INSTRUCTIONS
1. This form may be used to draft your Certificate of Assumed Name. A document required or permitted to be filed under the act
cannot be filed unless it contains the minimum information required by the act. The format provided contains only the minimal
information required to make the document fileable and may not meet your needs. This is a legal document and agency staff
cannot provide legal advice.
2. Submit one original of this document. Upon filing, the document will be added to the records of the Corporations, Securities &
Commercial Licensing Bureau. The original will be returned to your registered office address unless you enter a different address in
the box on the front of this document.
Since this document will be maintained on electronic format, it is important that the filing be legible. Documents with poor black and
white contrast, or otherwise illegible, will be rejected.
8. NONREFUNDABLE FEES: Make remittance payable to the State of Michigan. Include entity name and identification number on
check or money order.
LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals
with disabilities.
5. Item 1 - The name is the name contained in the original, amended, or restated Articles of Incorporation, Certificate of Limited
Partnership, or Articles of Organization. The name of a foreign corporation, limited partnership, or limited liability company, is that
name under which it obtained its authority to transact business or conduct affairs in Michigan.
3. The certificate is effective for a period expiring on December 31 of the fifth full calendar year following the year in which it was
filed, unless a Certificate of Termination is filed.
6. Item 2 - Enter the identification number assigned by the Bureau. If this number is unknown, leave it blank.
4. When the same name is assumed by more than one entity, each participant corporation, limited partnership, or limited liability
company must simultaneously file a separate Certificate of Assumed Name. The assumed name will be effective for the same
period for each participant.
7. The Certificate must be signed by:
CORPORATIONS: an authorized officer or agent.
LIMITED PARTNERSHIPS: a general partner.
DOMESTIC LIMITED LIABILITY COMPANIES: a manager, if managed by one or more managers, a member if
management remains in the members, or an authorized agent of the company.
FOREIGN LIMITED LIABILITY COMPANIES: a person with authority to do so under the laws of the jurisdiction of
its organization.
CORPORATION OR LIMITED PARTNERSHIP..........................................
LIMITED LIABILITY COMPANY.................................................................
$10.00
$25.00
Documents that are endorsed filed are available at www.michigan.gov/corpentitysearch. If the submitted document is not fileable, the notice of refusal to
file and document will be available at the Rejected Filings Search website at www.michigan.gov/corprejectedsearch.
CSCL/CD-541 (Rev. 10/17)
5. If the same name is assumed by two or more corporations, limited partnerships, or limited liability companies, or any combination
thereof, each participant corporation, limited partnership, or limited liability company shall file a separate certificate. Each assumed
name certificate shall reflect the correct true name or qualifying assumed name of the other corporations, limited partnerships,
or limited liability companies which are simultaneously adopting the same assumed name.
An entity that already has the assumed name shall simultaneously file a Certificate of Termination of Assumed Name and a new
Certificate of Assumed Name.
Listed below in alphabetical order are the participating corporations and/or limited partnerships and/or limited liability companies
and their identification numbers.
1.
2.
3.
4.
6.
7.
8.
9.
10.
11.
12.
1.
14.
15.
5.
3.
Optional expedited service.
Expedited review and filing, if fileable, is available for all documents for profit corporations, limited
liability companies, limited partnerships and nonprofit corporations.
The nonrefundable expedited service fee is in addition to the regular fees applicable to the specific
document.
Please complete a separate CSCL/CD-272 form for expedited service for each document submitted
in person
or by mail.
24-hour service - $50 for formation documents and applications for certificate of authority.
24-hour service - $100 for any document concerning an existing entity.
Same day service
Same day - $100 for formation documents and applications for certificate of
authority.
Same day - $200 for any document concerning an existing entity.
Review completed on day of receipt. Document and request for same day expedited
service must be received by 1 p.m. EST OR EDT.
Two hour - $500
Review completed within two hours on day of receipt. Document and request for two hour
expedited service must be received by 3 p.m. EST OR EDT.
One hour - $1000
Review completed within one hour on day of receipt. Document and request for 1 hour
expedited service must be received by 4 p.m. EST OR EDT.
Documents submitted by mail are delivered to a remote location for receipts processing and are
then forwarded to the Corporation
s
Division for review. Day of receipt for mailed expedited service
requests is the day the Corporations Division receives the request.
Rev. 10/17
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MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS CORPORATIONS, (Kallas Restaurant Accounting)

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Completed 13 January 2021

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