Revised 8/13/15 646
A STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY - REAL ESTATE DIVISION
OFFICE OF THE OMBUDSMAN FOR COMMON-INTEREST COMMUNITIES AND CONDOMINIUM HOTELS
1818 E. College Parkway, Suite 1103, Carson City, NV 89706 * (775) 687-4280
3300 W. Sahara Ave., Suite 325, Las Vegas, Nevada 89102
(702) 486-4480 * Toll free: (877) 829-9907 * Fax: (702) 486-4520
E-mail: CICOmbudsman@red.nv.gov http://www.red.nv.gov
NOTIFICATION OF ASSOCIATION NAME CHANGE
Should the Declarant or the Board of Directors legally change the name of the association, it is
imperative that the name change be recorded with the Office of the Ombudsman for Common-Interest
Communities and Condominiums Hotels to prevent a duplication of associations registered with the
Real Estate Division.
This form is to officially notify the Office of the Ombudsman for Common-Interest Communities and
Condominium Hotels of a legal name change for the following association. Attached is a copy of the filed
and recorded document that has been processed with the Office of the Secretary of State.
Secretary of State entity number: ______________________ Secretary of State filing date: ______/______/______
For SOS filing information, log onto http://nvsos.gov/sosentitysearch/CorpSearch.aspx)
_________________________________________________________________________,
(Name of the association as currently registered with the Secretary of State)
was registered with Secretary of State as
_________________________________________________________________________,
(Name of association prior to the change)
Subdivision name(s) for the Association: ______________________________________________________
(For instructions on how to locate the subdivision name, visit http://red.nv.gov/uploadedFiles/rednvgov/Content/Publications/References/subdivision_search.pdf)
If association belongs to a master planned community, please provide master’s name: __________________________
NOTE: Pursuant to NRS 116.31155(2), all master associations are responsible for payment of the annual unit fee with the Ombudsman for
each sub-association unless governing documents provide otherwise; verification required by this office.
Current number of units conveyed: ________________ Maximum number of units that may be built: _________________
** Is the association a (check one) □ Condominium □ Cooperative □ Planned Community □ Condominium Hotel?
** If a planned community, indicate which types of units it includes:
□ Single Family Dwelling □ Condominium □ Townhouse □ Manufactured Housing □ Duplex
Name of person completing this form: (print) _________________________________________ Title: _________________________
Person authorized to sign form: □ Board Member (title: _________) □ Community Manager (License #___________) □ Declarant
Signature: _________________________________Print name: _____________________________ Date signed: _____/_____/_____
Person signing is attesting to the accuracy of the information provided.
Processed by: ____________________________ Date Processed: _____________________________ Date Received: __________________________
